Provider Demographics
NPI:1306275011
Name:MURPHY, KENYA J (LICSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:KENYA
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14903 NORTHCOTE LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1041
Mailing Address - Country:US
Mailing Address - Phone:301-218-7533
Mailing Address - Fax:301-218-7533
Practice Address - Street 1:14903 NORTHCOTE LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1041
Practice Address - Country:US
Practice Address - Phone:301-218-7533
Practice Address - Fax:301-218-7533
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-03
Last Update Date:2013-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD097031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical