Provider Demographics
NPI:1376871665
Name:PLEETER, LORI FELICE (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:FELICE
Last Name:PLEETER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 BARTOL AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3901
Mailing Address - Country:US
Mailing Address - Phone:410-764-2112
Mailing Address - Fax:
Practice Address - Street 1:701 RAPPOLLA ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4603
Practice Address - Country:US
Practice Address - Phone:410-396-9125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD095931041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool