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NPI Code Detail

MEDICARE: ANNE L. DEVAUGHN LCSW-C, LMFT

MEDICARE:   ANNE L. DEVAUGHN  LCSW-C, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker10706MD
2106H00000XMarriage & Family TherapistLCM029MD

General Provider Information

NPI Number : 1760468755
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE L. DEVAUGHN LCSW-C, LMFT
Provider Business Mailing Address
First Line : 435 INDEPENDENCE ST
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-1611
Country : US
Telephone Number : 301-777-8779
Fax Number :
Provider Business Practice Location Address
First Line : 900 SETON DR
Second Line : SECOND FLOOR
City : CUMBERLAND
State : MD
Zip : 21502-1854
Country : US
Telephone Number : 301-723-1443
Fax Number : 301-723-1480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 09/11/2025

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Directions to “ ANNE L. DEVAUGHN LCSW-C, LMFT” Practice Location

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