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NPI Code Detail

MEDICARE: LORI L. VAN SCOYK LCSW

MEDICARE:   LORI L. VAN SCOYK  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34005547AIN
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1760677868
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI L. VAN SCOYK LCSW
Provider Business Mailing Address
First Line : 8555 TAFT ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6123
Country : US
Telephone Number : 219-769-4005
Fax Number : 219-769-0620
Provider Business Practice Location Address
First Line : 8555 TAFT ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6123
Country : US
Telephone Number : 219-769-4005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2007
Last Update Date : 05/25/2023

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Directions to “ LORI L. VAN SCOYK LCSW” Practice Location

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