Doctor Name: | MS. LEA W. LORTIE |
NPI Number: | 1013173103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 114286 |
Business Practice Address: | 1101 Beacon St Brookline, MA - 024465587 |
Business Phone Number: | 6173887440 |
Business Fax Number: | |
Mailing Address: | 330 Walden St, CAMBRIDGE |
State: | MA |
Postal Code: | 021381344 |
Phone Number: | 6173887440 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2008 |
NPI Last Update Date: | 07/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 114286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |