| Doctor Name: | LORI M. CHURCHILL |
| NPI Number: | 1790002061 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 110244 |
| Business Practice Address: | 53 Gardner Rd Hubbardston, MA - 014521650 |
| Business Phone Number: | 9789281164 |
| Business Fax Number: | |
| Mailing Address: | 26 Main St, HUBBARDSTON |
| State: | MA |
| Postal Code: | 014521440 |
| Phone Number: | 9789281164 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2010 |
| NPI Last Update Date: | 04/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 110244 |
| 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 |