Provider Demographics
NPI:1376275107
Name:QUAYSON WEBB, ALICIA
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:QUAYSON WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7955 TUCKERMAN LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3243
Mailing Address - Country:US
Mailing Address - Phone:866-389-2727
Mailing Address - Fax:
Practice Address - Street 1:845 BLADENSBURG RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3927
Practice Address - Country:US
Practice Address - Phone:202-397-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00858400101YP2500X
MDLC12954101YP2500X
SC10305101YP2500X
MALMHC10002631101YP2500X
IN39005312A101YP2500X
NC21216101YP2500X
CT46.007665101YP2500X
GALPC015394101YP2500X
ARP2502014101YP2500X
VA0701014037101YP2500X
MS3290101YP2500X
MI6401224613101YP2500X
DCPRC15405101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional