Provider Demographics
NPI:1427328855
Name:CIAFONE, WALDA LYNNE (MSW)
Entity type:Individual
Prefix:MS
First Name:WALDA
Middle Name:LYNNE
Last Name:CIAFONE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 81ST ST
Mailing Address - Street 2:
Mailing Address - City:CABIN JOHN
Mailing Address - State:MD
Mailing Address - Zip Code:20818-1205
Mailing Address - Country:US
Mailing Address - Phone:301-229-7201
Mailing Address - Fax:
Practice Address - Street 1:6600 81ST ST
Practice Address - Street 2:
Practice Address - City:CABIN JOHN
Practice Address - State:MD
Practice Address - Zip Code:20818-1205
Practice Address - Country:US
Practice Address - Phone:301-229-7201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD041501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical