Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Laura Ann Stafford, LICSW

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1104050178

Mrs. Laura Ann Stafford, LICSW is an Emotionally Disturbed Childrens' Residential Treatment Facility in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2009
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

12550 New Brittany Blvd Ste 201
Fort Myers, FL 33907-3655
Phone: (239) 343-9190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 111844 (MA)

Record details

NPI number1104050178
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 6, 2009
Last updated in NPPESApril 1, 2015