Provider Demographics
NPI:1669688701
Name:FISCHER, LORRAINE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 SORREL AVE
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4732
Mailing Address - Country:US
Mailing Address - Phone:301-299-2832
Mailing Address - Fax:301-299-0793
Practice Address - Street 1:4707 CONNECTICUT AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5631
Practice Address - Country:US
Practice Address - Phone:202-686-0114
Practice Address - Fax:202-363-2121
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC300574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health