Healthcare Provider Details

I. General information

NPI: 1093309080
Provider Name (Legal Business Name): LORI MCCLAIN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 S 10TH ST
READING PA
19602-1916
US

IV. Provider business mailing address

19 THAYER RD
BIRDSBORO PA
19508-8595
US

V. Phone/Fax

Practice location:
  • Phone: 610-371-5815
  • Fax:
Mailing address:
  • Phone: 585-738-0283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW132712
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: