Provider Demographics
NPI:1609325398
Name:DUCKWORTH, BRITTANY DENISE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:DENISE
Last Name:DUCKWORTH
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CRUSADER RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-2001
Mailing Address - Country:US
Mailing Address - Phone:240-641-3788
Mailing Address - Fax:
Practice Address - Street 1:201 CRUSADER RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-2001
Practice Address - Country:US
Practice Address - Phone:240-641-3788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD220331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD119591300Medicaid
MD119591300Medicaid
MD211833Medicare Oscar/Certification