Provider Demographics
NPI:1134153489
Name:LORELL, SANDRA MEYER (RN, MSW)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:MEYER
Last Name:LORELL
Suffix:
Gender:F
Credentials:RN, MSW
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:LEE
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 LADD ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4087
Mailing Address - Country:US
Mailing Address - Phone:603-334-3311
Mailing Address - Fax:603-433-6341
Practice Address - Street 1:20 LADD ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4087
Practice Address - Country:US
Practice Address - Phone:603-334-3311
Practice Address - Fax:603-433-6341
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH203104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker