Provider Demographics
NPI:1881025914
Name:KALAFOR, LAVERNE MARIE (LCSW, EDS, CCHT)
Entity Type:Individual
Prefix:MS
First Name:LAVERNE
Middle Name:MARIE
Last Name:KALAFOR
Suffix:
Gender:F
Credentials:LCSW, EDS, CCHT
Other - Prefix:MISS
Other - First Name:LAVERNE
Other - Middle Name:MARIE
Other - Last Name:WOMOWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:7018 US HIGHWAY 301 N
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-3030
Mailing Address - Country:US
Mailing Address - Phone:941-720-5732
Mailing Address - Fax:914-417-2371
Practice Address - Street 1:7018 US HIGHWAY 301 N
Practice Address - Street 2:
Practice Address - City:ELLENTON
Practice Address - State:FL
Practice Address - Zip Code:34222-3030
Practice Address - Country:US
Practice Address - Phone:941-720-5732
Practice Address - Fax:914-417-2371
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL116401041C0700X
FLSW116401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1649719519OtherTYPE II NPI