Provider Demographics
NPI:1548640279
Name:LEVANTO, LORIANN W (LCSW)
Entity type:Individual
Prefix:
First Name:LORIANN
Middle Name:W
Last Name:LEVANTO
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 1:25 HARBOR VIEW LN
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-5068
Mailing Address - Country:US
Mailing Address - Phone:860-334-0152
Mailing Address - Fax:860-383-2419
Practice Address - Street 1:25 HARBOR VIEW LN
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-5068
Practice Address - Country:US
Practice Address - Phone:860-334-0152
Practice Address - Fax:860-383-2419
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT90871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical