Provider Demographics
NPI:1033206214
Name:CRANE, LORI LEE (LSCSW, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:LEE
Last Name:CRANE
Suffix:
Gender:F
Credentials:LSCSW, LMSW
Other - Prefix:MISS
Other - First Name:LORI
Other - Middle Name:LEE
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSW, MSW
Mailing Address - Street 1:15510 STATE AVE STE 5D
Mailing Address - Street 2:
Mailing Address - City:BASEHOR
Mailing Address - State:KS
Mailing Address - Zip Code:66007-7122
Mailing Address - Country:US
Mailing Address - Phone:913-608-9616
Mailing Address - Fax:
Practice Address - Street 1:15510 STATE AVE STE 5D
Practice Address - Street 2:
Practice Address - City:BASEHOR
Practice Address - State:KS
Practice Address - Zip Code:66007-7122
Practice Address - Country:US
Practice Address - Phone:913-608-9616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS25321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical