Provider Demographics
NPI:1871891358
Name:BROWNING, LORI L (LCSW)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:L
Last Name:BROWNING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1853
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-6853
Mailing Address - Country:US
Mailing Address - Phone:314-308-8752
Mailing Address - Fax:636-333-4510
Practice Address - Street 1:2200 W PORT PLAZA DR STE 326
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3214
Practice Address - Country:US
Practice Address - Phone:314-308-8752
Practice Address - Fax:636-333-4510
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-07
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20030011226101YM0800X
MO20030012261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO92-0192971OtherEMPLOYER IDENTIFICATION NUMBER