Provider Demographics
NPI:1255214037
Name:RASPBERRY, MIYA AKEISHA (LMSW)
Entity type:Individual
Prefix:
First Name:MIYA
Middle Name:AKEISHA
Last Name:RASPBERRY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10865 MELBOURNE WAY
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINNS
Mailing Address - State:MD
Mailing Address - Zip Code:20695
Mailing Address - Country:US
Mailing Address - Phone:301-586-5621
Mailing Address - Fax:
Practice Address - Street 1:10865 MELBOURNE WAY
Practice Address - Street 2:
Practice Address - City:WHITE PLAINNS
Practice Address - State:MD
Practice Address - Zip Code:20695
Practice Address - Country:US
Practice Address - Phone:301-586-5621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD334461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty