Provider Demographics
NPI:1972685600
Name:FELDMAN, LORI (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LORRAINE
Other - Middle Name:
Other - Last Name:FELDMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSA
Mailing Address - Street 1:3884 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3839
Mailing Address - Country:US
Mailing Address - Phone:415-285-9770
Mailing Address - Fax:415-824-1829
Practice Address - Street 1:3884 24TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3839
Practice Address - Country:US
Practice Address - Phone:415-285-9770
Practice Address - Fax:415-824-1829
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS94061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ14297ZMedicare ID - Type Unspecified