Provider Demographics
NPI:1609005933
Name:WORKMAN, LORRIE ANN (LISW-S)
Entity type:Individual
Prefix:MS
First Name:LORRIE
Middle Name:ANN
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:MISS
Other - First Name:LORRIE
Other - Middle Name:ANN
Other - Last Name:BRAGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:870 THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3717
Mailing Address - Country:US
Mailing Address - Phone:614-291-9033
Mailing Address - Fax:614-322-9762
Practice Address - Street 1:99 N BRICE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-6510
Practice Address - Country:US
Practice Address - Phone:614-322-9760
Practice Address - Fax:614-322-9762
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0900028104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker