Provider Demographics
NPI:1508184870
Name:REMICK, LORI ANN (L-CSW)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANN
Last Name:REMICK
Suffix:
Gender:F
Credentials:L-CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8926 W SUGAR BUSH PATH
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34448-1187
Mailing Address - Country:US
Mailing Address - Phone:352-795-4892
Mailing Address - Fax:352-795-4892
Practice Address - Street 1:8926 W SUGAR BUSH PATH
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34448-1187
Practice Address - Country:US
Practice Address - Phone:352-795-4892
Practice Address - Fax:352-795-4892
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 84341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical