Provider Demographics
NPI:1043592611
Name:LEFKOWITZ, LORI (LMSW)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:LEFKOWITZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 SOUTH BROADWAY, SUITE 308
Mailing Address - Street 2:BEACON HEALTH STRATEGIES, LLC
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5455
Mailing Address - Country:US
Mailing Address - Phone:800-872-0727
Mailing Address - Fax:914-631-2462
Practice Address - Street 1:303 SOUTH BROADWAY, SUITE 308
Practice Address - Street 2:BEACON HEALTH STRATEGIES, LLC
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:800-872-0727
Practice Address - Fax:914-631-2462
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0595671041C0700X
302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No302R00000XManaged Care OrganizationsHealth Maintenance Organization