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General NPI Number Information
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NPI Number | 1396378592
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Entity Type | Individual
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Provider Name | LORRIE BERTRAND MSW, LICSW, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 02/15/2020
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 600 SOUTH ST W # 1056
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City | RAYNHAM
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State | MA
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Zip | 02767-5171
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Country | US
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Telephone | 508-625-9860
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Fax | 508-213-3832
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Provider Business Mailing Address
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Address Line | 600 SOUTH ST W # 1056
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City | RAYNHAM
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State | MA
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Zip | 02767-5171
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Country | US
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Telephone | 508-625-9860
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Fax | 508-213-3832
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 225439
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 33913
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 125106
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License Number State | MA
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