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MRS. LORETTA CLARISE PETTIFORD MSW,LICSW,LCSW-C,C.P
NPI 1578764981
Social Worker in Lavale, MD

Active since May 31, 2007
12611 HENRY DR SW, LAVALE, MD 21502(240) 727-2451(301) 777-1951 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Loretta Clarise Pettiford Msw,licsw,lcsw-c,c.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LORETTA CLARISE PETTIFORD MSW,LICSW,LCSW-C,C.P (NPI 1578764981) is an individual social worker in Lavale, Maryland, licensed in Maryland (13717) and active in the NPI registry since May 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578764981
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. LORETTA CLARISE PETTIFORDCredential: MSW,LICSW,LCSW-C,C.P
Location Address12611 HENRY DR SWLavale, MD 21502-6147
Mailing Address12611 Henry Dr SwLavale, MD 21502-6147 · (240) 727-2451 · Fax (301) 777-1951
Phone(240) 727-2451
Fax(301) 777-1951
Sole ProprietorYes
Enumeration DateMay 31, 2007
Last NPPES UpdateFebruary 1, 2019
✔ NPI 1578764981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 13717
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
12611 HENRY DR SW, Lavale, MD 21502
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Other Names 1

Former Name (1)Mrs. Loretta Clarise Lane

Secondary Practice Locations 2

Location 1564 National HwyLavale, MD 21502-7027 · Phone (240) 727-2451 · Fax (301) 777-1951
Location 21629 K St NWWashington, DC 20006-1602 · Phone (240) 727-2451

Other Identifiers 1

Medicaid4172248 00MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loretta Pettiford's NPI number?

The NPI number for Loretta Pettiford is 1578764981. It was assigned to this individual provider in the NPPES registry on May 31, 2007. The provider is also known as Mrs. Loretta Clarise Lane.

Where is Loretta Pettiford located?

Loretta Pettiford practices at 12611 Henry Dr SW, Lavale, MD 21502. The listed phone number is (240) 727-2451.

What is Loretta Pettiford's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Loretta Pettiford was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.