MEDICARE: JOANNA LAFRATTA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904018630	VA
2	1041C0700X	Clinical Social Worker	109835	TX

General Provider Information

NPI Number	:	1003674490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA LAFRATTA LCSW

Provider Business Mailing Address
First Line	:	601 SARATOGA DR
Second Line	:
City	:	FORT GREGG ADAMS
State	:	VA
Zip	:	23801-1491
Country	:	US
Telephone Number	:	254-290-5273
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 SARATOGA DR
Second Line	:
City	:	FORT GREGG ADAMS
State	:	VA
Zip	:	23801-1491
Country	:	US
Telephone Number	:	254-290-5273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	02/03/2026

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Directions to “ JOANNA LAFRATTA LCSW” Practice Location

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