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NPI Code Detail

MEDICARE: MRS. LOREN LAPENNA GOOLD LCSW

MEDICARE: MRS. LOREN LAPENNA GOOLD LCSW
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
1104100000XSocial Worker6880553NY

General Provider Information

NPI Number : 1821341736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LOREN LAPENNA GOOLD LCSW
Provider Business Mailing Address
First Line : 60 WALNUT AVE
Second Line :
City : EAST NORWICH
State : NY
Zip : 11732-1416
Country : US
Telephone Number : 516-922-6688
Fax Number :
Provider Business Practice Location Address
First Line : 60 WALNUT AVE
Second Line :
City : EAST NORWICH
State : NY
Zip : 11732-1416
Country : US
Telephone Number : 516-922-6688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2012
Last Update Date : 10/17/2012

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Directions to “ MRS. LOREN LAPENNA GOOLD LCSW” Practice Location

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