Provider Demographics
NPI:1033204847
Name:SWARTZ, LORI B (MSW LICSW OAPA)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:B
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:MSW LICSW OAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780
Mailing Address - Country:US
Mailing Address - Phone:508-823-8208
Mailing Address - Fax:508-823-4055
Practice Address - Street 1:5 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-823-8208
Practice Address - Fax:508-823-4055
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10216851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
A019714OtherHARVARD PILGRIM
458178OtherTUFTS
467128OtherVALUE OPTIONS
467148OtherGREAT WESTERN VALUE OPTIO
MAP06682OtherBLUE CROSS
MA2194152OtherCIGNA
RI302133OtherBLUE CROSS RI
MAP06682OtherBLUE CROSS