Provider Demographics
NPI:1316154321
Name:PICKERING, LORI (LMHC, CRC, LCAT)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:PICKERING
Suffix:
Gender:F
Credentials:LMHC, CRC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 BARRY LN
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3834
Mailing Address - Country:US
Mailing Address - Phone:516-829-9666
Mailing Address - Fax:516-482-0692
Practice Address - Street 1:800 NORTHERN BLVD
Practice Address - Street 2:NSUH VOCATIONAL REHABILITATION CENTER
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5314
Practice Address - Country:US
Practice Address - Phone:516-829-9666
Practice Address - Fax:516-482-0692
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003733101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health