Provider Demographics
NPI:1386154326
Name:LANGFORD, PAULA (LICSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4219 RED HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5857
Mailing Address - Country:US
Mailing Address - Phone:410-913-9188
Mailing Address - Fax:
Practice Address - Street 1:4219 RED HAVEN RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5857
Practice Address - Country:US
Practice Address - Phone:410-913-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD120431041C0700X
DCLC3029891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical