Provider Demographics
NPI:1992953202
Name:ZAGWODZKI, DEBORAH BUSKIRK (LCSW-C)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:BUSKIRK
Last Name:ZAGWODZKI
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 1:8030 STEVENS RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-9156
Mailing Address - Country:US
Mailing Address - Phone:301-855-7559
Mailing Address - Fax:
Practice Address - Street 1:3175 W WARD RD
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:MD
Practice Address - Zip Code:20754-3020
Practice Address - Country:US
Practice Address - Phone:410-286-0664
Practice Address - Fax:410-535-6272
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD034671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical