Provider Demographics
NPI:1184033508
Name:LORI BELHUMEUR, LCSW
Entity Type:Organization
Organization Name:LORI BELHUMEUR, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BELHUMEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-385-0530
Mailing Address - Street 1:409 READ DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-5616
Mailing Address - Country:US
Mailing Address - Phone:925-385-0530
Mailing Address - Fax:
Practice Address - Street 1:409 READ DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-5616
Practice Address - Country:US
Practice Address - Phone:925-385-0530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS202451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty