Healthcare Provider Details

I. General information

NPI: 1740487404
Provider Name (Legal Business Name): FRANCIS E. LEDBETTER MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8373 PINEY ORCHARD PKWY STE 202
ODENTON MD
21113-1531
US

IV. Provider business mailing address

PO BOX 266
ODENTON MD
21113-0266
US

V. Phone/Fax

Practice location:
  • Phone: 410-674-8500
  • Fax:
Mailing address:
  • Phone: 410-674-8500
  • Fax: 410-674-3771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number08543
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: