Basic Information
| Provider Information | |||||||||
| NPI: | 1487181525 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FORD | ||||||||
| FirstName: | LORIANN | ||||||||
| MiddleName: | ALLAIRE | ||||||||
| NamePrefix: | MISS | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW, LCSWA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1319 N BRIGHTLEAF BLVD STE 112 | ||||||||
| Address2: | |||||||||
| City: | SMITHFIELD | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275774877 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199341312 | ||||||||
| FaxNumber: | 9199341080 | ||||||||
| Practice Location | |||||||||
| Address1: | 1319 N BRIGHTLEAF BLVD STE 112 | ||||||||
| Address2: | |||||||||
| City: | SMITHFIELD | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275774877 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1199341312 | ||||||||
| FaxNumber: | 9199341080 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2017 | ||||||||
| LastUpdateDate: | 04/28/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/28/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | PO14321 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.