Provider Demographics
NPI:1043556830
Name:WEBER, LORI ANN (LMSW)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:WEBER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:LEDUC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1329 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66935-2209
Mailing Address - Country:US
Mailing Address - Phone:785-560-3101
Mailing Address - Fax:785-527-8317
Practice Address - Street 1:1329 18TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:KS
Practice Address - Zip Code:66935
Practice Address - Country:US
Practice Address - Phone:785-560-3101
Practice Address - Fax:785-527-8317
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-24
Last Update Date:2018-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8393104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker