National Provider Identifier
Mary Ellen Lourey, LCSW-R
Mary Ellen Lourey, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Trumansburg, NY and a listed phone number of (607) 793-7127.
Profile Overview
- NPI
- 1629093232
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 13, 2006
- Last Updated
- February 02, 2023
Practice Location
- 5165 Jacksonville RD
- Trumansburg, NY 14886-9001
Phone: (607) 793-7127
Mailing Address
- PO Box 275
- Jacksonville, NY 14854-0275
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1629093232
- Entity Type
- Individual
- Last Name
- Lourey
- First Name
- Mary
- Middle Name
- Ellen
- Credential
- LCSW-R
- Mailing Street Address
- PO Box 275
- Mailing City
- Jacksonville
- Mailing State
- NY
- Mailing ZIP Code
- 14854-0275
- Mailing Country
- US
- Practice Street Address
- 5165 Jacksonville RD
- Practice City
- Trumansburg
- Practice State
- NY
- Practice ZIP Code
- 14886-9001
- Practice Country
- US
- Practice Phone
- (607) 793-7127
- Enumeration Date
- July 13, 2006
- Last Updated
- February 02, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)