Provider Demographics
NPI:1659686780
Name:O'BRIEN, LORRIE ANNE (MSW, LCSW, LICSW)
Entity Type:Individual
Prefix:
First Name:LORRIE
Middle Name:ANNE
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MSW, LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-4716
Mailing Address - Country:US
Mailing Address - Phone:860-835-5926
Mailing Address - Fax:860-835-5944
Practice Address - Street 1:10 ALLEN ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-4716
Practice Address - Country:US
Practice Address - Phone:860-835-5926
Practice Address - Fax:860-835-5944
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1167031041C0700X
CT0077001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical