National Provider Identifier
Lorraine V Moran, LCSW-R
Lorraine V Moran, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1174579411
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 26, 2006
- Last Updated
- February 11, 2010
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Mailing Address
- 4 Hackberry Ln
- Ithaca, NY 14850-5032
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1174579411
- Entity Type
- Individual
- Last Name
- Moran
- First Name
- Lorraine
- Middle Name
- V
- Credential
- LCSW-R
- Mailing Street Address
- 4 Hackberry Ln
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5032
- Mailing Country
- US
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Practice Fax
- (607) 273-7484
- Enumeration Date
- May 26, 2006
- Last Updated
- February 11, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 07300028685LI (NY)