Provider Demographics
NPI:1053302315
Name:HARBERT, LORI CHRISTINE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:LORI
Middle Name:CHRISTINE
Last Name:HARBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 STOKELY ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6329
Mailing Address - Country:US
Mailing Address - Phone:724-255-7868
Mailing Address - Fax:
Practice Address - Street 1:66 STOKELY ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-6329
Practice Address - Country:US
Practice Address - Phone:724-255-7868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0159881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical