Individual provider · Type 1 NPI
Ebony Samara Giddins Vaughan, LCSW-C
Clinical Social Worker · Owings Mills, MD
Practice location
9199 Reisterstown Rd Ste 204B
Owings Mills, MD 21117-4593
Fax (410) 655-1329
Mailing address
3839 Janbrook Rd
Randallstown, MD 21133-2705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 12666 (MD) |
Clinical Social Worker: 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 interpers…
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About NPI 1871760397
Ebony Samara Giddins Vaughan, LCSW-C's National Provider Identifier is 1871760397, issued on May 14, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Owings Mills, MD. The record was last updated on Jul 29, 2020.