Provider Demographics
NPI:1316118987
Name:ROSSITTO, LORI ANN MARIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LORI ANN
Middle Name:MARIE
Last Name:ROSSITTO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 RUSSELL DR
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-3204
Mailing Address - Country:US
Mailing Address - Phone:860-538-9551
Mailing Address - Fax:
Practice Address - Street 1:200 W CENTER ST STE C3
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4870
Practice Address - Country:US
Practice Address - Phone:860-538-9551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2020-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical