Provider Demographics
NPI:1407967672
Name:TOUCHETTE, LORRAINE A (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:A
Last Name:TOUCHETTE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BOSTON WAY APT 303
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-4191
Mailing Address - Country:US
Mailing Address - Phone:978-358-8584
Mailing Address - Fax:508-433-1871
Practice Address - Street 1:3 BOSTON WAY APT 303
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-4191
Practice Address - Country:US
Practice Address - Phone:508-641-5116
Practice Address - Fax:508-433-1871
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10305591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1890808Medicaid
MAP21001Medicare ID - Type UnspecifiedMEDICARE ID #