Provider Demographics
NPI:1265500458
Name:PILATO, LUDWIG K (LCSW-C, CFAE)
Entity Type:Individual
Prefix:MR
First Name:LUDWIG
Middle Name:K
Last Name:PILATO
Suffix:
Gender:M
Credentials:LCSW-C, CFAE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12412 SILVERBIRCH LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2556
Mailing Address - Country:US
Mailing Address - Phone:301-490-3403
Mailing Address - Fax:
Practice Address - Street 1:10123 SENATE DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4367
Practice Address - Country:US
Practice Address - Phone:301-459-9840
Practice Address - Fax:301-459-4856
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD25238OtherCFAE
MD12395OtherLCSW-C LICENSE