Provider Demographics
NPI:1710723150
Name:VERED, LIOR (LCSWA, PHD, MSW)
Entity type:Individual
Prefix:DR
First Name:LIOR
Middle Name:
Last Name:VERED
Suffix:
Gender:F
Credentials:LCSWA, PHD, MSW
Other - Prefix:DR
Other - First Name:LIOR
Other - Middle Name:
Other - Last Name:VERED-LANGLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:204 BARRINGTON HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-7728
Mailing Address - Country:US
Mailing Address - Phone:909-919-6691
Mailing Address - Fax:
Practice Address - Street 1:3710 UNIVERSITY DR STE 120
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6204
Practice Address - Country:US
Practice Address - Phone:919-906-4390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-04
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0207541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical