Joann Lynn Sanford, LCSW-C

Individual provider Active NPI Clinical Social Worker · Freeland, MD

NPI 1508076845 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508076845
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
07408 (MD)
Practice address
21002 Keeney Mill Rd
Freeland, MD 21053-9643
Phone
(410) 343-2749
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
07408MDMDClinical Social Worker
107758CAMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07408 MD Yes

Addresses

Primary practice location

21002 Keeney Mill Rd
Freeland, MD 21053-9643

Mailing address

21002 Keeney Mill Rd
Freeland, MD 21053-9643
Phone (410) 343-2749

Other providers in Freeland, MD

All providers in Freeland, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.