Provider Demographics
NPI:1982037123
Name:DUTTON, LORNA DARLENE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:LORNA
Middle Name:DARLENE
Last Name:DUTTON
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 1:3900 FORESTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20747-4715
Mailing Address - Country:US
Mailing Address - Phone:240-296-6088
Mailing Address - Fax:301-967-0275
Practice Address - Street 1:3900 FORESTVILLE RD
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:MD
Practice Address - Zip Code:20747-4715
Practice Address - Country:US
Practice Address - Phone:240-296-6088
Practice Address - Fax:301-967-0275
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD138001041C0700X
DCLC500778591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical