Provider Demographics
NPI:1245813047
Name:RELIFORD, LAUREN WHITNEY (MSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:WHITNEY
Last Name:RELIFORD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3043 NUTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1234
Mailing Address - Country:US
Mailing Address - Phone:703-864-2113
Mailing Address - Fax:
Practice Address - Street 1:3043 NUTWOOD LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1234
Practice Address - Country:US
Practice Address - Phone:703-864-2113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker