Provider Demographics
NPI:1740306513
Name:NOACK, LORENE ANN (LCSW)
Entity type:Individual
Prefix:
First Name:LORENE
Middle Name:ANN
Last Name:NOACK
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 1:308 MAIN ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-2500
Mailing Address - Country:US
Mailing Address - Phone:916-787-8871
Mailing Address - Fax:530-477-2265
Practice Address - Street 1:308 MAIN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2500
Practice Address - Country:US
Practice Address - Phone:916-787-8871
Practice Address - Fax:530-477-2265
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2012-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 205181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical