Provider Demographics
NPI:1679714786
Name:FIRESTONE, LORI E (LCSW-C)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:E
Last Name:FIRESTONE
Suffix:
Gender:
Credentials:LCSW-C
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:E
Other - Last Name:MONTANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:2202 PELHAM AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1033
Mailing Address - Country:US
Mailing Address - Phone:202-437-0323
Mailing Address - Fax:
Practice Address - Street 1:2202 PELHAM AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1033
Practice Address - Country:US
Practice Address - Phone:202-437-0323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD187061041C0700X
DCLC30008711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical