Provider Demographics
NPI:1871802066
Name:DELSIGNORE, LORIANNE (SWT)
Entity type:Individual
Prefix:
First Name:LORIANNE
Middle Name:
Last Name:DELSIGNORE
Suffix:
Gender:F
Credentials:SWT
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:DELSIGNORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1257 DONALD AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-2805
Mailing Address - Country:US
Mailing Address - Phone:330-881-4342
Mailing Address - Fax:
Practice Address - Street 1:202 E BAGLEY RD
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-2058
Practice Address - Country:US
Practice Address - Phone:216-407-3476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1000627.TRNE1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical