Provider Demographics
NPI:1811286487
Name:MAY, LORRY G (MSW, LISW-CP)
Entity type:Individual
Prefix:MRS
First Name:LORRY
Middle Name:G
Last Name:MAY
Suffix:
Gender:F
Credentials:MSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-6906
Mailing Address - Country:US
Mailing Address - Phone:864-561-9053
Mailing Address - Fax:864-244-3208
Practice Address - Street 1:497 LANCASTER RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-6906
Practice Address - Country:US
Practice Address - Phone:864-561-9053
Practice Address - Fax:864-244-3208
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1041C0700X
SC54941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
12270736OtherCAQH