Provider Demographics
NPI:1598494767
Name:GARVEY, DERRON (LMSW)
Entity Type:Individual
Prefix:
First Name:DERRON
Middle Name:
Last Name:GARVEY
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9056 FOX STREAM WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-2556
Mailing Address - Country:US
Mailing Address - Phone:202-843-7622
Mailing Address - Fax:240-306-1219
Practice Address - Street 1:9056 FOX STREAM WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-2556
Practice Address - Country:US
Practice Address - Phone:202-843-7622
Practice Address - Fax:240-306-1219
Is Sole Proprietor?:No
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27539104100000X
DCLG50083445104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker