Ms Deitra E Bryant-mallory, LICSW, LCSW-C - Medicare Clinical Social Worker in Lanham, MD

Ms Deitra E Bryant-mallory, LICSW, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Lanham, Maryland. Her current practice location is 10001 Derekwood Ln Ste 120, Lanham, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 306-4590.

Ms Deitra E Bryant-mallory is licensed to practice in Maryland (license number 13673) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063719060.

Contact Information

Ms Deitra E Bryant-mallory, LICSW, LCSW-C
10001 Derekwood Ln Ste 120,
Lanham, MD 20706-4876
(301) 306-4590
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Deitra E Bryant-mallory
GenderFemale
SpecialitySocial Worker - Clinical
Location10001 Derekwood Ln Ste 120, Lanham, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063719060
  • Provider Enumeration Date: 02/28/2011
  • Last Update Date: 05/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4183892193
  • Enrollment ID: I20110719000110

Medical Identifiers

Medical identifiers for Ms Deitra E Bryant-mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063719060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 13673 (Maryland)Primary
1041C0700XSocial Worker - Clinical LC50078061 (District Of Columbia)Secondary

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. Ms Deitra E Bryant-mallory is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Deitra E Bryant-mallory, LICSW, LCSW-C
4014 Wales Ln,
Upper Marlboro, MD 20772-7997

Ph: (240) 462-9283
Ms Deitra E Bryant-mallory, LICSW, LCSW-C
10001 Derekwood Ln Ste 120,
Lanham, MD 20706-4876

Ph: (301) 306-4590

Reviews and Comments


Social Worker in Lanham, MD

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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