Provider Demographics
NPI:1134796998
Name:MEYER, LOIS B (LMSW)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:B
Last Name:MEYER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 RIDGE ACRES RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-2615
Mailing Address - Country:US
Mailing Address - Phone:203-984-9824
Mailing Address - Fax:
Practice Address - Street 1:196 GREYROCK PL
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-2006
Practice Address - Country:US
Practice Address - Phone:203-921-4161
Practice Address - Fax:203-921-4169
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4094104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker