Provider Demographics
NPI:1073596029
Name:ORNDORFF, LORNA MICHELE (MA MSW LICSW)
Entity Type:Individual
Prefix:
First Name:LORNA
Middle Name:MICHELE
Last Name:ORNDORFF
Suffix:
Gender:F
Credentials:MA MSW LICSW
Other - Prefix:
Other - First Name:LORNA
Other - Middle Name:MICHELE
Other - Last Name:RINEAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA MSW LICSW
Mailing Address - Street 1:1601 SW ARCHER ROAD
Mailing Address - Street 2:NORTH FLORIDA/SOUTH GEORGIA VHS ATTN: SWS
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-2332
Mailing Address - Country:US
Mailing Address - Phone:352-376-1611
Mailing Address - Fax:352-271-4542
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:SOCIAL WORK SERVICES
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:352-271-4542
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339171041C0700X
DCLC3032771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical