Provider Demographics
NPI:1396808994
Name:TEMPEL, LORRAINE R (PHD, LCSW, LI)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:R
Last Name:TEMPEL
Suffix:
Gender:F
Credentials:PHD, LCSW, LI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 NEWBURY STREET, 4TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116
Mailing Address - Country:US
Mailing Address - Phone:212-799-0854
Mailing Address - Fax:
Practice Address - Street 1:143 NEWBURY STREET, 4TH FLOOR
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116
Practice Address - Country:US
Practice Address - Phone:212-799-0854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1219731041C0700X
NYR0184761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical