Provider Demographics
NPI:1013053131
Name:STEURER, LORETTA ANN (MSW, ACSW, LMFT,LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LORETTA
Middle Name:ANN
Last Name:STEURER
Suffix:
Gender:F
Credentials:MSW, ACSW, LMFT,LCSW
Other - Prefix:MS
Other - First Name:LORETTA
Other - Middle Name:ANN
Other - Last Name:ZAKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 562
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30091-0562
Mailing Address - Country:US
Mailing Address - Phone:770-449-0815
Mailing Address - Fax:770-449-5759
Practice Address - Street 1:6045 ATLANTIC BLVD.
Practice Address - Street 2:SUITE 218
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1334
Practice Address - Country:US
Practice Address - Phone:770-449-0815
Practice Address - Fax:770-449-5759
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALCSW5561041C0700X
GA000556LCSW1041C0700X
GA000476106H00000X
GA000476LMFT106H00000X
GALMFT476106H00000X
GA0005561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA80BBFJTOtherMEDICARE P-TAN
GA80BBFJTMedicare PIN