Provider Demographics
NPI:1952342412
Name:WEINREICH, LORI SEIDMAN (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:SEIDMAN
Last Name:WEINREICH
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 COLLEGEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-7202
Mailing Address - Country:US
Mailing Address - Phone:845-485-1890
Mailing Address - Fax:845-485-1890
Practice Address - Street 1:39 COLLEGEVIEW AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-7202
Practice Address - Country:US
Practice Address - Phone:845-485-1890
Practice Address - Fax:845-485-1890
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071087-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN7P361Medicare ID - Type Unspecified