Feneck, Lori Eileen
Feneck, Lori Eileen is an sole proprietor health care provider with primary practice located at 1385 Pocono Blvd , Mount Pocono PA 18344-1678. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Feneck, Lori Eileen can be contacted via phone (570) 460-4379.Contact Information
Primary practice address
1385 Pocono Blvd
Mount Pocono PA 18344-1678
Phone: (570) 460-4379
Fax: (570) 421-3600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SL05367800 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW016742 | Pennsylvania |
Profile Details
| NPI number | 1629292008 |
|---|---|
| LBN Legal business name | Feneck, Lori Eileen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 21st, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629292008 | NPPES |
| Pennsylvania | MEDICAID | 101857158 |
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