Provider Demographics
NPI:1477995058
Name:AMEY, LORI R (LSW)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:R
Last Name:AMEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:DRESSLER
Other - Last Name:LOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28 WEST SHORTCUT
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17074-1501
Mailing Address - Country:US
Mailing Address - Phone:717-567-3524
Mailing Address - Fax:
Practice Address - Street 1:28 WEST SHORTCUT
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:PA
Practice Address - Zip Code:17074-1501
Practice Address - Country:US
Practice Address - Phone:717-567-3524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA104100000X
PACW0198051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102953300Medicaid