Kristin Laferty

Individual provider Active NPI Clinical Social Worker · Perry Hall, MD

NPI 1295877157 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295877157
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
12147 (MD)
Practice address
4216 Silver Spring Rd
Perry Hall, MD 21128-9659
Phone
(410) 529-5150
Fax
(410) 569-0094
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12147MDMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12147 MD Yes

Addresses

Primary practice location

4216 Silver Spring Rd
Perry Hall, MD 21128-9659

Mailing address

2227 Old Emmorton Road
Suite 119
Bel Air, MD 21015

Other providers in Perry Hall, MD

All providers in Perry Hall, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.