Provider Demographics
NPI:1003213851
Name:HANSLEY, LORENZO T (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LORENZO
Middle Name:T
Last Name:HANSLEY
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 RANGER DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9036
Mailing Address - Country:US
Mailing Address - Phone:336-382-9954
Mailing Address - Fax:336-292-6711
Practice Address - Street 1:612 PASTEUR DR STE 400
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1120
Practice Address - Country:US
Practice Address - Phone:336-294-1349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0092161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC010484OtherSWC&LB