Provider Demographics
NPI:1710597372
Name:DILORENZO, LAUREN C (LCSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:C
Last Name:DILORENZO
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 1:8421 KIRBY DR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487-8435
Mailing Address - Country:US
Mailing Address - Phone:815-412-4790
Mailing Address - Fax:
Practice Address - Street 1:20635 ABBEY WOODS CT N STE 209
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-3188
Practice Address - Country:US
Practice Address - Phone:815-640-1669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490224231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical