Provider Demographics
NPI:1982285516
Name:LUCEY-MAYNARD, DEBRA (LCSW, MSW)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:LUCEY-MAYNARD
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:LUCEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, MSW
Mailing Address - Street 1:2805 LOXDALE FARMS DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-7728
Mailing Address - Country:US
Mailing Address - Phone:413-219-4487
Mailing Address - Fax:
Practice Address - Street 1:2805 LOXDALE FARMS DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-7728
Practice Address - Country:US
Practice Address - Phone:413-219-4487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor