Provider Demographics
NPI:1740487404
Name:LEDBETTER, FRANCIS E (MSW)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:E
Last Name:LEDBETTER
Suffix:
Gender:
Credentials:MSW
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 266
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-0266
Mailing Address - Country:US
Mailing Address - Phone:410-674-8500
Mailing Address - Fax:410-674-3771
Practice Address - Street 1:8373 PINEY ORCHARD PKWY STE 202
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1531
Practice Address - Country:US
Practice Address - Phone:410-674-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD085431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD408801800Medicaid