Provider Demographics
NPI:1588009005
Name:LORENZO, CATHERINE THERESA (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:THERESA
Last Name:LORENZO
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 1:150 ADELAIDE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3919
Mailing Address - Country:US
Mailing Address - Phone:718-288-5181
Mailing Address - Fax:
Practice Address - Street 1:150 ADELAIDE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3919
Practice Address - Country:US
Practice Address - Phone:718-288-5181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0456721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical