Pugh, Lorraine Jaconna

Pugh, Lorraine Jaconna is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Pugh, Lorraine Jaconna can be contacted via phone (315) 772-0215.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Fort Drum NY 13602-5438
Phone: (315) 772-0215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C007860 North Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X C007860 North Carolina

Profile Details

NPI number 1356699060
LBN Legal business name Pugh, Lorraine Jaconna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2012
Last updated Mar 4th, 2022 - about 3 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.

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