Ms Deitra E Bryant-mallory, LICSW, LCSW-C - Clinical Social Worker in Lanham, MD

Ms Deitra E Bryant-mallory, LICSW, LCSW-C is a Social Worker - Clinical based in Lanham, Maryland. Ms Deitra E Bryant-mallory is licensed to practice in Maryland (license number 13673) and her current practice location is 10001 Derekwood Ln Ste 120, Lanham, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 306-4590.

NPI number for Ms Deitra E Bryant-mallory is 1063719060 and her current mailing address is 4014 Wales Ln, Upper Marlboro, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063719060.

Contact Information

Ms Deitra E Bryant-mallory, LICSW, LCSW-C
10001 Derekwood Ln Ste 120,
Lanham, MD 20706-4876
(301) 306-4590
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Deitra E Bryant-mallory
GenderFemale
SpecialitySocial Worker - Clinical
Location10001 Derekwood Ln Ste 120, Lanham, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063719060
  • Provider Enumeration Date: 02/28/2011
  • Last Update Date: 02/28/2011

Medical Identifiers

Medical identifiers for Ms Deitra E Bryant-mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063719060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 13673 (Maryland)Primary
1041C0700XSocial Worker - Clinical LC50078061 (District Of Columbia)Secondary

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. Ms Deitra E Bryant-mallory 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 AddressPractice Location Address
Ms Deitra E Bryant-mallory, LICSW, LCSW-C
4014 Wales Ln,
Upper Marlboro, MD 20772-7997

Ph: (240) 462-9283
Ms Deitra E Bryant-mallory, LICSW, LCSW-C
10001 Derekwood Ln Ste 120,
Lanham, MD 20706-4876

Ph: (301) 306-4590

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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