Provider Demographics
NPI:1871347195
Name:LUVON, DEIRDRE (MSW)
Entity type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:
Last Name:LUVON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 BOND LN
Mailing Address - Street 2:
Mailing Address - City:TWISP
Mailing Address - State:WA
Mailing Address - Zip Code:98856-9861
Mailing Address - Country:US
Mailing Address - Phone:509-669-1223
Mailing Address - Fax:
Practice Address - Street 1:38 BOND LN
Practice Address - Street 2:
Practice Address - City:TWISP
Practice Address - State:WA
Practice Address - Zip Code:98856-9861
Practice Address - Country:US
Practice Address - Phone:509-669-1223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA615192711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical