Doctor Name: | LORI WHITMIRE |
NPI Number: | 1003150996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CSW004676 |
Business Practice Address: | 1435 Oglethorpe Ave Athens, GA - 306062135 |
Business Phone Number: | 7065497755 |
Business Fax Number: | 7065490428 |
Mailing Address: | 1435 Oglethorpe Ave, ATHENS |
State: | GA |
Postal Code: | 306062135 |
Phone Number: | 7065497755 |
Fax Number: | 7065490428 |
NPI Enumeration Date: | 11/16/2012 |
NPI Last Update Date: | 11/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW004676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |