Provider Demographics
NPI:1467416164
Name:LLOYD, JEANNE L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:L
Last Name:LLOYD
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 1:515 COLLEGE RD
Mailing Address - Street 2:STE 18
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410
Mailing Address - Country:US
Mailing Address - Phone:336-299-2725
Mailing Address - Fax:336-299-2083
Practice Address - Street 1:515 COLLEGE RD
Practice Address - Street 2:STE 18
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410
Practice Address - Country:US
Practice Address - Phone:336-299-2725
Practice Address - Fax:336-299-2083
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC001200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC050922OtherMHN
NC52365OtherBLUE CROSS BLUE SHIELD
NC60054OtherAETNA
NC2873449Medicare ID - Type Unspecified