Provider Demographics
NPI:1285231894
Name:MASSARELLI, LORIANN M (LCSW)
Entity Type:Individual
Prefix:
First Name:LORIANN
Middle Name:M
Last Name:MASSARELLI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:M
Other - Last Name:MASSARELLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5130 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-8010
Mailing Address - Country:US
Mailing Address - Phone:412-400-0606
Mailing Address - Fax:724-327-1127
Practice Address - Street 1:5130 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-8010
Practice Address - Country:US
Practice Address - Phone:412-400-0606
Practice Address - Fax:724-327-1127
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW137433104100000X
PACW0234101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker