Healthcare Provider Details

I. General information

NPI: 1346586021
Provider Name (Legal Business Name): LORI MARIE ROBICHEAU LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2012
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 PELHAM RD STE 203
SALEM NH
03079-4851
US

IV. Provider business mailing address

7A CATALPA DR
HUDSON NH
03051-3995
US

V. Phone/Fax

Practice location:
  • Phone: 603-883-0005
  • Fax: 603-883-0007
Mailing address:
  • Phone: 603-205-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6021
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: