MR. TYRONE DELANO WILLOUGHBY JR. (NPI# 1326379678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326379678 |
| Entity Type | Individual |
| Full Name | MR. TYRONE DELANO WILLOUGHBY JR. |
| Credential | LCSW-C |
| Practice Address |
155 Arthur Ave Port Deposit MD 21904-1247 |
| Practice Telephone | 4104190811 |
| Mailing Telephone | 4104190811 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
15041 | MD | Behavioral Health & Social Service Providers |
| Street Address |
155 ARTHUR AVE |
| City | PORT DEPOSIT |
| State | MD |
| Zip Code | 21904-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710462122 | Win Team, LLC | Clinic/Center | 7 Pleasant View Church Road, Port Deposit, MD 21904 | 2018-10-02 |
| 1629553037 | Win Team, LLC | Clinic/Center | 7 Pleasant View Chrurch Road, Port Deposit, MD 21904 | 2018-10-02 |
| 1619030038 | Water Witch Fire Company Inc | Ambulance | 15 N Main St, Port Deposit, MD 21904-1209 | 2006-12-18 |
| 1083013866 | Christina Bowman | Dentist | 805 Principio Rd, Port Deposit, MD 21904-1520 | 2014-08-18 |
| 1730520453 | Principio Mobility | Durable Medical Equipment & Medical Supplies | 462 Linton Run Rd, Port Deposit, MD 21904-1670 | 2013-07-10 |
| 1467913509 | Next Day Mobility LLC | Durable Medical Equipment & Medical Supplies | 462 Linton Run Rd, Port Deposit, MD 21904-1670 | 2019-03-29 |
| 1174073423 | Win Team | Community/Behavioral Health | 33 S Main St, Port Deposit, MD 21904-1771 | 2016-10-11 |
| 1376911586 | Win Team LLC | Community/Behavioral Health | 33 S Main St, Port Deposit, MD 21904-1771 | 2015-09-03 |
| 1346581550 | Union Hospital of Cecil County | General Practice | 41 Preston Dr, Port Deposit, MD 21904-1800 | 2013-03-13 |
| 1467475426 | Karen L Canter Md Pa | Family Medicine | 20 Craigtown Rd, Suite 106, Port Deposit, MD 21904-1801 | 2006-07-25 |
| Find all providers in zip 21904 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770901555 | Noleksmar Ventures LLC | Social Worker | 56 Drier Ln, Port Deposit, MD 21904-2010 | 2014-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1669073201 | Deborah Lynn Dey | Social Worker | 810 Bestgate Rd Ste 400, Annapolis, MD 21401-3033 | 2020-11-02 |
| 1265032908 | Ayana S Manzanares | Social Worker | 2507 Holman Ave, Silver Spring, MD 20910-1143 | 2020-10-30 |
| 1669072633 | Petals Behavioral LLC | Social Worker | 12623 Epping Rd, Silver Spring, MD 20906-3865 | 2020-10-29 |
| 1972103752 | Tasha Williams | Social Worker | 3025 Woodring Ave, Parkville, MD 21234-7828 | 2020-10-29 |
| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1841890043 | Juliet Renee Wilson | Social Worker | 1811 Chapel Rd, Havre De Grace, MD 21078-1809 | 2020-10-27 |
| 1457951618 | Betsy Reinstein Dewey | Social Worker | 4618 Derussey Pkwy, Chevy Chase, MD 20815-5332 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | PORT DEPOSIT |
| Zip Code | 21904 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.