| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JEFFREY LETCHFORD | 1538705413 | 2024-11-10 |
Jeffrey Letchford [M] graduated in 2017 and primarily specializes in Clinical Social Worker.
Jeffrey Letchford is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538705413. Registration indicates Jeffrey Letchford is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| PECOS ID | 1850728528 |
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Jeffrey Letchford LCSW |
| Practice Office Address | 4419 PHEASANT RIDGE RD # SUIE200 ROANOKE, VA US |
| Practice Office Telephone | 5403556957 |
| Practice Office Fax | 5405563320 |
| Mailing Address | 4419 PHEASANT RIDGE RD # SUIE200 ROANOKE, VA 240145282 US |
| Business Telephone | 5403556957 |
| Business Fax | 5405563320 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 0904011384
VA |