Provider Demographics
NPI:1295817120
Name:GARRAWAY, RENEE L (LCSW-C, MSW, MA)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:L
Last Name:GARRAWAY
Suffix:
Gender:F
Credentials:LCSW-C, MSW, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7315 OLIVE BRANCH WAY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-6917
Mailing Address - Country:US
Mailing Address - Phone:301-922-8659
Mailing Address - Fax:
Practice Address - Street 1:7315 OLIVE BRANCH WAY
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-6917
Practice Address - Country:US
Practice Address - Phone:301-922-8659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical