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

MS. Deitra E. Bryant-Mallory, LICSW, LCSW-C

Individual provider Clinical Social Worker · NPI 1063719060

MS. Deitra E. Bryant-Mallory, LICSW, LCSW-C is a Clinical Social Worker in Lanham, Maryland. Practices as a sole proprietor. Licensed in District of Columbia and Maryland.

Licensed in
DC, MD
In the registry since
2011
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

10001 Derekwood Ln Ste 120
Lanham, MD 20706-4876
Phone: (301) 306-4590
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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 13673 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC50078061 (DC)

Record details

NPI number1063719060
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LCSW-C
Sole proprietorYes
NPI enumeratedFebruary 28, 2011
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

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