| Lori A Dritz Lcsw Pc | |
|
504 Haight Ave Poughkeepsie NY 12603-2479 | |
| (845) 242-3623 | |
| Not Available |
| Full Name | Lori A Dritz Lcsw Pc |
|---|---|
| Speciality | Counselor |
| Location | 504 Haight Ave, Poughkeepsie, New York |
| Authorized Official Name and Position | Lori A Dritz (LCSW) |
| Authorized Official Contact | 8452423623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori A Dritz Lcsw Pc 3 Cleveland Dr Poughkeepsie NY 12601-6001 Ph: (845) 452-4030 | Lori A Dritz Lcsw Pc 504 Haight Ave Poughkeepsie NY 12603-2479 Ph: (845) 242-3623 |
| NPI Number | 1801219266 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Medicare PECOS PAC ID | 4082847579 |
|---|---|
| Medicare Enrollment ID | O20140508000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801219266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | R031263-1 (New York) | Primary |
| Provider Name | Lori A Dritz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588796759 PECOS PAC ID: 8527204205 Enrollment ID: I20130425000222 |
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