Provider Demographics
NPI:1902386758
Name:DRUSKIN, MALYA LYBA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:MALYA
Middle Name:LYBA
Last Name:DRUSKIN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:MALYA
Other - Middle Name:LYBA
Other - Last Name:LEVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:117 CLAYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3114
Mailing Address - Country:US
Mailing Address - Phone:404-313-7866
Mailing Address - Fax:
Practice Address - Street 1:10750 COLUMBIA PIKE STE 700
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4461
Practice Address - Country:US
Practice Address - Phone:301-681-6772
Practice Address - Fax:301-681-3424
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD208521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical