Provider Demographics
NPI:1871218024
Name:LORENZO, LACI (LMSW, CSW-I)
Entity type:Individual
Prefix:
First Name:LACI
Middle Name:
Last Name:LORENZO
Suffix:
Gender:F
Credentials:LMSW, CSW-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 JADE CT
Mailing Address - Street 2:
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-9420
Mailing Address - Country:US
Mailing Address - Phone:775-224-1069
Mailing Address - Fax:
Practice Address - Street 1:5865 TYRONE RD STE 102
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6266
Practice Address - Country:US
Practice Address - Phone:775-800-1136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-19451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty