Provider Demographics
NPI:1699453811
Name:COMMUNITY WORKS LLC
Entity type:Organization
Organization Name:COMMUNITY WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MFT
Authorized Official - Phone:413-222-0000
Mailing Address - Street 1:35 HENRY HARRIS STREET
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01013
Mailing Address - Country:US
Mailing Address - Phone:413-222-0000
Mailing Address - Fax:
Practice Address - Street 1:35 HENRY HARRIS STREET
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013
Practice Address - Country:US
Practice Address - Phone:413-222-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty