Provider Demographics
NPI:1396378311
Name:REED, DEBRA ELAINE (LICSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ELAINE
Last Name:REED
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15011 GREEN WING TER
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7060
Mailing Address - Country:US
Mailing Address - Phone:301-821-5976
Mailing Address - Fax:
Practice Address - Street 1:700 12TH ST NW STE 700
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-4052
Practice Address - Country:US
Practice Address - Phone:301-821-5976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3030521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical