Provider Demographics
NPI:1588898274
Name:WEBB, KAWANA LAYA (LCSW-C)
Entity type:Individual
Prefix:
First Name:KAWANA
Middle Name:LAYA
Last Name:WEBB
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8818 ROUNDHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7901
Mailing Address - Country:US
Mailing Address - Phone:443-521-6399
Mailing Address - Fax:410-901-1388
Practice Address - Street 1:105 HIBISCUS LN
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-3046
Practice Address - Country:US
Practice Address - Phone:443-521-6399
Practice Address - Fax:410-901-1388
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD143621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD63191001OtherCAREFIRST BLUE CROSS
MD400781600Medicaid
MD932514728Medicaid