Provider Demographics
NPI:1932078193
Name:CLARKSON, LORNE (LMSW-C)
Entity type:Individual
Prefix:
First Name:LORNE
Middle Name:
Last Name:CLARKSON
Suffix:
Gender:M
Credentials:LMSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 COLLINGWOOD ST # 255
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3845
Mailing Address - Country:US
Mailing Address - Phone:517-292-4098
Mailing Address - Fax:
Practice Address - Street 1:230 COLLINGWOOD ST # 255
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3845
Practice Address - Country:US
Practice Address - Phone:517-292-4098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011209091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty