Gloria Lorentzen, LCSW
Individual provider Active NPI Clinical Social Worker · Eldred, NY
NPI 1982634895 · NPPES record last updated Jul 28, 2015
Key facts
- NPI
- 1982634895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P061519 (NY)
- Practice address
- 585 State Route 55
Eldred, NY 12732-5036 - Phone
- (845) 699-8036
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P061519 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy of Monticello Inc | Clinical | Past |
Accepting new patients |
| Highland Counseling Services LCSW LLC | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P061519 | NY | Yes |
Addresses
Primary practice location
585 State Route 55
Eldred, NY 12732-5036
Mailing address
PO Box 265
Eldred, NY 12732-0265
Phone (845) 699-8036
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N3W841 | Other | NY | MEDICARE GROUP PIN |
Other providers in Eldred, NY
- Jacqueline Nicole Giampietro
- Highland Ambulance Service Inc
- Highland Ambulance Service, Town of
- Highland Counseling Services LCSW LLC
- Ryan Christopher Lay
- Sylvan Liebla American Legion Post 1363
- White Tara Therapy LLC
- Philip Alan Zuckerman
All providers in Eldred, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.