Provider Demographics
NPI:1700220514
Name:TAURIELLO, LORRAINE A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:A
Last Name:TAURIELLO
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 1:716 RIPLEY STREET
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111
Mailing Address - Country:US
Mailing Address - Phone:267-444-9414
Mailing Address - Fax:215-887-1484
Practice Address - Street 1:716 RIPLEY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111
Practice Address - Country:US
Practice Address - Phone:267-444-9414
Practice Address - Fax:215-887-1484
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW017650101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor