Gretchen Howard Lord, LCSW-R
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1982104428
StatusActive
Last updated in NPPESFeb 20, 2018
Details
- NPI
- 1982104428
- Entity type
- Individual (NPI-1)
- Name
- Gretchen Howard Lord
- Credential
- LCSW-R
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2018
- Last updated
- Feb 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | RO57635 | NY | Yes |
Practice location
19 W 34th St Fl 13New York, NY 10001-3006
Phone 212-947-7111
Mailing address
411 Park Ave S Apt 3aNew York, NY 10016-8424
Phone 917-696-6163
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