Provider Demographics
NPI:1497905822
Name:STOPPS, LORI (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:STOPPS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 SUMAC CT
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60046-4918
Mailing Address - Country:US
Mailing Address - Phone:224-372-7354
Mailing Address - Fax:
Practice Address - Street 1:933 SUMAC CT
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:IL
Practice Address - Zip Code:60046-4918
Practice Address - Country:US
Practice Address - Phone:224-372-7354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150011041104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker