Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DEITRA E. BRYANT-MALLORY, LICSW, LCSW-C

Active Sole Proprietor

MS. DEITRA E. BRYANT-MALLORY, LICSW, LCSW-C is a Clinical Social Worker healthcare provider located in LANHAM, Maryland. NPI 1063719060 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LANHAM, MD

Registration Details

NPI Number: 1063719060
Provider Type: Individual
Gender: Female
NPI Issued: Feb 28, 2011 (15.438806434371 yrs)
Last Updated: Feb 28, 2011
Licenses: 13673 (MD)

LC50078061 (DC)
Sole Proprietor: Yes

Practice Information

Address: 10001 DEREKWOOD LN STE 120

LANHAM, MD, 207064876
Browse MD providers · Browse ZIP 20706
Phone: 3013064590
Primary Specialty: Clinical Social Worker
1041C0700X
Additional Specialty: Clinical Social Worker

Other Clinical Social Worker Providers in LANHAM, MD

Name	Credential	NPI
MS. AIMEE ELIZABETH WILLIAMS	LCSW-C	1104992494
HELEN P DIXON	—	1861569980
MR. LUDWIG K. PILATO	LCSW-C, CFAE	1265500458
MRS. SHARON GACHO HOBSON	LCSW-C	1881813046
AMINA ALEEM HALL	MSW	1205056819
MS. MEGHAN KOEHLER	LCSW-C	1205047388

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.