Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LORETTA CLARISE PETTIFORD, MSW,LICSW,LCSW-C,C.P
Active Sole ProprietorMRS. LORETTA CLARISE PETTIFORD, MSW,LICSW,LCSW-C,C.P is a Social Worker healthcare provider located in LAVALE, Maryland. NPI 1578764981 is currently active in the NPPES registry. Verify at CMS.
Social Worker · LAVALE, MD
Registration Details
- NPI Number
- 1578764981
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2007 (19.208894568878 yrs)
- Last Updated
- Feb 1, 2019
- License
-
13717 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12611 HENRY DR SWLAVALE, MD, 215026147Browse MD providers · Browse ZIP 21502
- Phone
- 2407272451
- Fax
- 3017771951
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in LAVALE, MD
| Name | Credential | NPI |
|---|---|---|
| CARRIE B MCDONALD | LCSW-C | 1023246196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.