Provider Demographics
NPI:1417384991
Name:LLOYD, CAROLYN MOORE (MASTERS OF SOCIAL WO)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:MOORE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MASTERS OF SOCIAL WO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 PORTAGE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2236
Mailing Address - Country:US
Mailing Address - Phone:301-247-1727
Mailing Address - Fax:
Practice Address - Street 1:2701 NAYLOR RD SE
Practice Address - Street 2:SUITE A 111
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7242
Practice Address - Country:US
Practice Address - Phone:202-724-5240
Practice Address - Fax:202-645-5621
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3010281041C0700X
MD052551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical