Provider Demographics
NPI:1447529896
Name:FEINMAN, LORI ROCHELLE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ROCHELLE
Last Name:FEINMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 670
Mailing Address - Street 2:PINE BUSH HIGH SCHOOL
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566
Mailing Address - Country:US
Mailing Address - Phone:845-744-2031
Mailing Address - Fax:
Practice Address - Street 1:21 ULSTERVILLE RD
Practice Address - Street 2:
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566-6735
Practice Address - Country:US
Practice Address - Phone:845-744-2031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04432311041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool