Provider Demographics
NPI:1023785946
Name:LARCHER, LORI KATHLEEN (LCSW)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:KATHLEEN
Last Name:LARCHER
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 1:8060 N OTTAWA AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-2814
Mailing Address - Country:US
Mailing Address - Phone:847-532-9633
Mailing Address - Fax:
Practice Address - Street 1:1701 E LAKE AVE STE 245
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2065
Practice Address - Country:US
Practice Address - Phone:773-234-5366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical