Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tyrone Delano Willoughby Jr., LCSW-C

Individual provider Clinical Social Worker · NPI 1326379678

Mr. Tyrone Delano Willoughby Jr., LCSW-C is a Clinical Social Worker in Port Deposit, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2010
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Practice location Address checks out

155 Arthur Ave
Port Deposit, MD 21904-1247
Phone: (410) 419-0811
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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 15041 (MD)

Record details

NPI number1326379678
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedJanuary 27, 2010
Last updated in NPPESJanuary 27, 2010

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