Provider Demographics
NPI:1669073201
Name:DEY, DEBORAH LYNN (LCSW-C, OSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:DEY
Suffix:
Gender:F
Credentials:LCSW-C, OSW
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:SEDENKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW-C
Mailing Address - Street 1:121 ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3503
Mailing Address - Country:US
Mailing Address - Phone:443-995-0272
Mailing Address - Fax:
Practice Address - Street 1:810 BESTGATE RD STE 400
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3033
Practice Address - Country:US
Practice Address - Phone:410-897-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD116221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty