Provider Demographics
NPI:1275776007
Name:BERROUET, LLOYDY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LLOYDY
Middle Name:
Last Name:BERROUET
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 1:1015 WHITE POINT DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3405
Mailing Address - Country:US
Mailing Address - Phone:516-503-9227
Mailing Address - Fax:
Practice Address - Street 1:1015 WHITE POINT DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3405
Practice Address - Country:US
Practice Address - Phone:516-503-9227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040140041041C0700X
NCC0146471041C0700X
NY0922681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical