Provider Demographics
NPI:1659521003
Name:FISHER, LORRIE FRIEDLAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LORRIE
Middle Name:FRIEDLAN
Last Name:FISHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:287 EAST STREET
Mailing Address - Street 2:FREEDOM HOUSE RECOVERY CENTER SUITE 221
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312
Mailing Address - Country:US
Mailing Address - Phone:919-542-4422
Mailing Address - Fax:919-542-2624
Practice Address - Street 1:287 EAST ST
Practice Address - Street 2:SUITE 221
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-8637
Practice Address - Country:US
Practice Address - Phone:919-542-4422
Practice Address - Fax:919-542-2624
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0052141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical