Provider Demographics
NPI:1467658526
Name:THORPE, LAURA M (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:M
Last Name:THORPE
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 1:112 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5851
Mailing Address - Country:US
Mailing Address - Phone:410-967-6920
Mailing Address - Fax:410-552-4531
Practice Address - Street 1:112 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5003
Practice Address - Country:US
Practice Address - Phone:410-967-6920
Practice Address - Fax:410-552-4531
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD089941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD008657V93Medicare ID - Type Unspecified