Mrs. Ebony Samara Giddins Vaughan, LCSW-C
Mrs. Ebony Samara Giddins Vaughan, LCSW-C is a Clinical Social Worker in Owings Mills, Maryland. Qualified in 2000, 26 years ago. Practices with Nexus Wellness Group, a 2-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 26
- Licensed in
- MD
- In the registry since
- 2008
Practice location Address checks out
9199 Reisterstown Rd Ste 204BOwings Mills, MD 21117-4593
Phone: (410) 382-4536
Fax: (410) 655-1329
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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 12666 (MD) |
|---|
Record details
| NPI number | 1871760397 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW-C |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2008 |
| Last updated in NPPES | July 29, 2020 |
| Certification date | July 29, 2020 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Nexus Wellness Group — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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