Provider Demographics
NPI:1427532571
Name:HILDA KAY LOREE-PRYOR, LCSW-R, CASAC
Entity type:Organization
Organization Name:HILDA KAY LOREE-PRYOR, LCSW-R, CASAC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOREE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R, CASAC
Authorized Official - Phone:585-568-9733
Mailing Address - Street 1:493 S MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-2126
Mailing Address - Country:US
Mailing Address - Phone:585-393-1333
Mailing Address - Fax:585-393-1313
Practice Address - Street 1:493 S MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-2126
Practice Address - Country:US
Practice Address - Phone:585-393-1333
Practice Address - Fax:585-393-1313
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILDA KAY LOREE-PRYOR, LCSW-R, CASAC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6005744OtherAETNA
NY923919OtherBEACON
NYP010085014OtherEXCELLUS BCBS
NY180126000132OtherFIDELIS
NY=========OtherOPTUM