Provider Demographics
NPI:1972808772
Name:TRAINA, LAURI MORIN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LAURI
Middle Name:MORIN
Last Name:TRAINA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 KINGS LN
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-6926
Mailing Address - Country:US
Mailing Address - Phone:207-831-7033
Mailing Address - Fax:
Practice Address - Street 1:10 LIBBY HILL RD
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:ME
Practice Address - Zip Code:04039-9712
Practice Address - Country:US
Practice Address - Phone:207-657-2066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC47921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical