Provider Demographics
NPI:1093506966
Name:KIRBY, LORNA (LSW)
Entity type:Individual
Prefix:
First Name:LORNA
Middle Name:
Last Name:KIRBY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W SOMERSET ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-2085
Mailing Address - Country:US
Mailing Address - Phone:732-939-2860
Mailing Address - Fax:
Practice Address - Street 1:50 VREELAND DR STE 13
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2639
Practice Address - Country:US
Practice Address - Phone:609-793-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05758400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker