Provider Demographics
NPI:1659620466
Name:TOMARO, LORI S (LCSW)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:S
Last Name:TOMARO
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 1:400 N MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-3730
Mailing Address - Country:US
Mailing Address - Phone:609-597-3424
Mailing Address - Fax:609-597-3410
Practice Address - Street 1:400 N MAIN ST
Practice Address - Street 2:BLDG. 1 SUITE 3
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3730
Practice Address - Country:US
Practice Address - Phone:609-597-3424
Practice Address - Fax:609-597-3410
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2016-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055165001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical