Provider Demographics
NPI:1811327380
Name:COSNER, LORY (MSW, LCSW, LCSW-C)
Entity type:Individual
Prefix:MS
First Name:LORY
Middle Name:
Last Name:COSNER
Suffix:
Gender:F
Credentials:MSW, LCSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 LEGION AVE # 6294
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4125
Mailing Address - Country:US
Mailing Address - Phone:443-343-2522
Mailing Address - Fax:
Practice Address - Street 1:2024 WEST STREET
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-429-0285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-20
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0216881041C0700X
MO20190299741041C0700X
NJ44SC055710001041C0700X
FLTPSW18531041C0700X
MD269591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical