Provider Demographics
NPI:1487181525
Name:FORD, LORIANN ALLAIRE (MSW, LCSWA)
Entity Type:Individual
Prefix:MISS
First Name:LORIANN
Middle Name:ALLAIRE
Last Name:FORD
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 N BRIGHTLEAF BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-4877
Mailing Address - Country:US
Mailing Address - Phone:919-934-1312
Mailing Address - Fax:919-934-1080
Practice Address - Street 1:1319 N BRIGHTLEAF BLVD STE 112
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4877
Practice Address - Country:US
Practice Address - Phone:119-934-1312
Practice Address - Fax:919-934-1080
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPO143211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical