Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Tagua Hidie Maynard, LCSW-C

Individual provider Clinical Social Worker · NPI 1497117287

Ebony Tagua Hidie Maynard, LCSW-C is a Clinical Social Worker in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

604 Solarex Ct Ste 201
Frederick, MD 21703-7005
Phone: (301) 663-8263
Fax: (301) 682-5326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18946 (MD)

Record details

NPI number1497117287
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022

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