Provider Demographics
NPI:1619671070
Name:CHANEY, LORI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:
Last Name:CHANEY
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 1:164 CHURCHILL DR
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-1525
Mailing Address - Country:US
Mailing Address - Phone:931-246-9449
Mailing Address - Fax:931-256-8548
Practice Address - Street 1:164 CHURCHILL DR
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-1525
Practice Address - Country:US
Practice Address - Phone:931-246-9449
Practice Address - Fax:931-256-8548
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical