Provider Demographics
NPI:1720353014
Name:HOWARD, LORRAINE YVETTE (LCSW, LCADC)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:YVETTE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-3401
Mailing Address - Country:US
Mailing Address - Phone:856-441-5279
Mailing Address - Fax:856-375-2495
Practice Address - Street 1:535 ROUTE 38 STE 128D
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2953
Practice Address - Country:US
Practice Address - Phone:856-441-5279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00167800101YA0400X
NJ44SC054902001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)