Provider Demographics
NPI:1326260431
Name:ROCHFORD, ANN (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:ROCHFORD
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10374 FAULKNER RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2219
Mailing Address - Country:US
Mailing Address - Phone:410-997-7410
Mailing Address - Fax:
Practice Address - Street 1:5513 TWIN KNOLLS RD STE 220
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3264
Practice Address - Country:US
Practice Address - Phone:410-707-0657
Practice Address - Fax:410-730-3700
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD054201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
095468000OtherMAGELLAN
MD642943-01OtherCAREFIRST BLUECROSS
531329OtherVALUE OPTIONS
H124-0019OtherCAREFIRST BLUECHOICE
257584OtherKAISER PERMANENTE