Provider Demographics
NPI:1174354492
Name:CIAMPA, DEVON LAINE (LICSW, LCSW-C)
Entity type:Individual
Prefix:MS
First Name:DEVON
Middle Name:LAINE
Last Name:CIAMPA
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 1:8001 WOODMONT AVE APT 1605
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3784
Mailing Address - Country:US
Mailing Address - Phone:617-763-9396
Mailing Address - Fax:
Practice Address - Street 1:8001 WOODMONT AVE APT 1605
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3784
Practice Address - Country:US
Practice Address - Phone:617-763-9396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD244531041C0700X
DC2000030461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical