Mr Tyrone Delano Willoughby Jr, LCSW-C is a
Social Worker - Clinical based in Port Deposit, Maryland. Mr Tyrone Delano Willoughby Jr is licensed to practice in Maryland (license number 15041) and his current practice location is
155 Arthur Ave, Port Deposit, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 419-0811.
NPI number for Mr Tyrone Delano Willoughby Jr is 1326379678 and his current mailing address is 155 Arthur Ave, Port Deposit, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326379678.
Healthcare Provider's Profile
Full Name | Mr Tyrone Delano Willoughby Jr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 155 Arthur Ave, Port Deposit, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326379678
- Provider Enumeration Date: 01/27/2010
- Last Update Date: 01/27/2010
Medical Identifiers
Medical identifiers for Mr Tyrone Delano Willoughby Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326379678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 15041 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Tyrone Delano Willoughby Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Tyrone Delano Willoughby Jr, LCSW-C 155 Arthur Ave, Port Deposit, MD 21904-1247 Ph: (410) 419-0811 | Mr Tyrone Delano Willoughby Jr, LCSW-C 155 Arthur Ave, Port Deposit, MD 21904-1247 Ph: (410) 419-0811 |
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