Provider Demographics
NPI:1407910797
Name:MAYHEW, DEBORAH MAE (MSW, LCSW, PIP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MAE
Last Name:MAYHEW
Suffix:
Gender:F
Credentials:MSW, LCSW, PIP
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:HODGSON
Other - Last Name:RENFROE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW, PIP
Mailing Address - Street 1:WRAMC, BLDG 2, ROOM 2J38
Mailing Address - Street 2:6900 GEORGIA AVE. NW
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307-5001
Mailing Address - Country:US
Mailing Address - Phone:202-782-8464
Mailing Address - Fax:
Practice Address - Street 1:WRAMC, BLDG 2, DEPARTMENT OF MEDICINE
Practice Address - Street 2:6900 GEORGIA AVE NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0909C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical