Provider Demographics
NPI:1518712611
Name:LEDFORD, BROOKLYNN JONET (LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:BROOKLYNN
Middle Name:JONET
Last Name:LEDFORD
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 702
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:NC
Mailing Address - Zip Code:28719-0702
Mailing Address - Country:US
Mailing Address - Phone:828-507-6693
Mailing Address - Fax:
Practice Address - Street 1:596 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5654
Practice Address - Country:US
Practice Address - Phone:828-554-1690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP1099091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical