Provider Demographics
NPI:1447671268
Name:FIGUEROA, MAYRA (LICSW)
Entity type:Individual
Prefix:MRS
First Name:MAYRA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 ABERDEEN ST
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-3104
Mailing Address - Country:US
Mailing Address - Phone:301-204-1980
Mailing Address - Fax:
Practice Address - Street 1:3403 ABERDEEN ST
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-3104
Practice Address - Country:US
Practice Address - Phone:301-204-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500790901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical