Loretta V Mountcastle, LCSW
Social Worker, Clinical in Aylett, VA. Individual provider (NPI-1).
NPI number1861691826
StatusActive
Last updated in NPPESMay 9, 2017
Details
- NPI
- 1861691826
- Entity type
- Individual (NPI-1)
- Name
- Loretta V Mountcastle
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2007
- Last updated
- May 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904001174 | VA | Yes |
Practice location
11814 King William RdAylett, VA 23009-4103
Phone 804-769-3022 · Fax 804-769-1253
Mailing address
Po Box 213Aylett, VA 23009-0213
Phone 804-769-3022 · Fax 804-769-1253
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