Provider Demographics
NPI:1962219238
Name:DEHOFF, REBECCA LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:DEHOFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PRESTON
Mailing Address - State:MD
Mailing Address - Zip Code:21655-2215
Mailing Address - Country:US
Mailing Address - Phone:410-754-0750
Mailing Address - Fax:833-914-0410
Practice Address - Street 1:225 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESTON
Practice Address - State:MD
Practice Address - Zip Code:21655-2215
Practice Address - Country:US
Practice Address - Phone:410-754-0750
Practice Address - Fax:833-914-0410
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040177571041C0700X
MD25086104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical