Provider Demographics
NPI:1932398237
Name:DREANY-PYLES, LAURA C (LCSWC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:C
Last Name:DREANY-PYLES
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 SOLOMONS ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-1102
Mailing Address - Country:US
Mailing Address - Phone:443-569-6947
Mailing Address - Fax:410-841-6045
Practice Address - Street 1:2600 SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1102
Practice Address - Country:US
Practice Address - Phone:443-569-6947
Practice Address - Fax:410-841-6045
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC0778101YP2500X
MD186301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional