Provider Demographics
NPI:1760643217
Name:HYLE, DEBORAH ELLEN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ELLEN
Last Name:HYLE
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 1:13151 RIDGELY RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21639-1607
Mailing Address - Country:US
Mailing Address - Phone:410-829-1182
Mailing Address - Fax:443-746-2139
Practice Address - Street 1:8221 TEAL DR STE 207
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7227
Practice Address - Country:US
Practice Address - Phone:240-565-9306
Practice Address - Fax:443-746-2139
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD152531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7840093OtherAETNA
MDR968OtherCAREFIRST FEDERAL/NATIONAL
MD522156095OtherAMERICAN PSYCH SYSTEM
MD609550002Medicaid
MD609500300Medicaid
MD346646OtherMHN
MDLM49EAOtherCAREFIRST BCBS
MD259147-000OtherMAGELLAN
MD522156095OtherCOMMERCIAL INSURANCE
MD522156095OtherAMERICAN PSYCH SYSTEM