Sean Loftlin Rivers
Individual provider Active NPI Clinical Social Worker · Fort Washington, MD
NPI 1639476237 · NPPES record last updated Feb 28, 2011
Key facts
- NPI
- 1639476237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC50078302 (DC)
- Practice address
- 7710 Jaffrey Rd
Fort Washington, MD 20744-3407 - Phone
- (240) 464-6868
- NPI assigned
- Feb 16, 2011
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50078302 | DC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50078302 | DC | Yes |
Addresses
Primary practice location
7710 Jaffrey Rd
Fort Washington, MD 20744-3407
Mailing address
7710 Jaffrey Rd
Fort Washington, MD 20744-3407
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All providers in Fort Washington, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.