Provider Demographics
NPI:1679288211
Name:CHARNAS, LORRI L (LISW)
Entity type:Individual
Prefix:MRS
First Name:LORRI
Middle Name:L
Last Name:CHARNAS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:MRS
Other - First Name:LORRI
Other - Middle Name:L
Other - Last Name:CHARNAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW
Mailing Address - Street 1:145 W COMO AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1027
Mailing Address - Country:US
Mailing Address - Phone:614-296-5121
Mailing Address - Fax:
Practice Address - Street 1:145 W COMO AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-1027
Practice Address - Country:US
Practice Address - Phone:614-296-5121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00090271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical