Healthcare Provider Details

I. General information

NPI: 1902148653
Provider Name (Legal Business Name): LEMAR HUOT LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CENTRAL ST STE 300
LOWELL MA
01852-1916
US

IV. Provider business mailing address

9 CENTRAL ST STE 300
LOWELL MA
01852-1916
US

V. Phone/Fax

Practice location:
  • Phone: 978-710-8656
  • Fax: 978-454-6620
Mailing address:
  • Phone: 978-710-8656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number30398
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW119576
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number48660
License Number StateHI
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61108012
License Number StateWA
# 6
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120745
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: