Provider Demographics
NPI:1093025389
Name:LORRAINE LABARRE, L.C.S.W.
Entity Type:Organization
Organization Name:LORRAINE LABARRE, L.C.S.W.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LABARRE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:860-443-4163
Mailing Address - Street 1:400 BAYONET ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-2600
Mailing Address - Country:US
Mailing Address - Phone:860-443-4163
Mailing Address - Fax:
Practice Address - Street 1:400 BAYONET ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-2600
Practice Address - Country:US
Practice Address - Phone:860-443-4163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0062361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty