Individual
LORI ELIZABETH MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCDP
Contact information
Practice address
20 GRAND VIEW AVE, JOHNSTON, RI 02919-5078
(401) 699-7650
Mailing address
20 GRAND VIEW AVE, JOHNSTON, RI 02919-5078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01068
RI
1041C0700X
Clinical Social Worker
CSW04104
RI
Other
Enumeration date
10/16/2025
Last updated
02/11/2026
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