Individual
MRS. DEANNA LOUISE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4623 FALLS ROAD, BALTIMORE, MD 21209
(410) 366-1980
(410) 366-8530
Mailing address
3523 BAY DR, MIDDLE RIVER, MD 21220-4402
(410) 335-2266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04931
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179967
COMPSYCH
MD
01
—
226396
KAISER
MD
01
—
7186396
AETNA BEHAVIORAL HEALTH
MH
01
—
890943-01
CAREFIRST BCBS
MD
01
—
PVPB1348746
APS HEALTHCARE
MD
01
—
T541-0078
CAREFIRST BCBS
MD
Enumeration date
07/17/2006
Last updated
07/09/2007
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