Mr Tyrone Delano Willoughby Jr, LCSW-C - Clinical Social Worker in Port Deposit, MD

Mr Tyrone Delano Willoughby Jr, LCSW-C is a Social Worker - Clinical based in Port Deposit, Maryland. Mr Tyrone Delano Willoughby Jr is licensed to practice in Maryland (license number 15041) and his current practice location is 155 Arthur Ave, Port Deposit, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 419-0811.

NPI number for Mr Tyrone Delano Willoughby Jr is 1326379678 and his current mailing address is 155 Arthur Ave, Port Deposit, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326379678.

Contact Information

Mr Tyrone Delano Willoughby Jr, LCSW-C
155 Arthur Ave,
Port Deposit, MD 21904-1247
(410) 419-0811
Not Available



Healthcare Provider's Profile

Full NameMr Tyrone Delano Willoughby Jr
GenderMale
SpecialitySocial Worker - Clinical
Location155 Arthur Ave, Port Deposit, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326379678
  • Provider Enumeration Date: 01/27/2010
  • Last Update Date: 01/27/2010

Medical Identifiers

Medical identifiers for Mr Tyrone Delano Willoughby Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326379678NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 15041 (Maryland)Primary

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. Mr Tyrone Delano Willoughby Jr 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
Mr Tyrone Delano Willoughby Jr, LCSW-C
155 Arthur Ave,
Port Deposit, MD 21904-1247

Ph: (410) 419-0811
Mr Tyrone Delano Willoughby Jr, LCSW-C
155 Arthur Ave,
Port Deposit, MD 21904-1247

Ph: (410) 419-0811

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› Verified 2 days ago


Social Worker in Port Deposit, MD


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