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NPI Code Detail

MEDICARE: MRS. JENIFER RENAE LANORE MSW, LCSW-C, PMH-C

MEDICARE:  MRS. JENIFER RENAE LANORE  MSW, LCSW-C, PMH-C
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
1374J00000XDoula
21041C0700XClinical Social Worker18309MD

General Provider Information

NPI Number : 1356992986
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENIFER RENAE LANORE MSW, LCSW-C, PMH-C
Provider Business Mailing Address
First Line : 129 GARDEN RIDGE RD
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-2217
Country : US
Telephone Number : 443-465-0317
Fax Number :
Provider Business Practice Location Address
First Line : 129 GARDEN RIDGE RD
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-2217
Country : US
Telephone Number : 443-465-0317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 06/22/2023

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Directions to “ MRS. JENIFER RENAE LANORE MSW, LCSW-C, PMH-C” Practice Location

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