1710723150 NPI number — DR. LIOR VERED LCSWA, PH.D., MSW

Table of content: DR. LIOR VERED LCSWA, PH.D., MSW (NPI 1710723150)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710723150 NPI number — DR. LIOR VERED LCSWA, PH.D., MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VERED
Provider First Name:
LIOR
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LCSWA, PH.D., MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VERED-LANGLEY
Provider Other First Name:
LIOR
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1710723150
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/31/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
204 BARRINGTON HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHAPEL HILL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27516-7728
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-919-6691
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3710 UNIVERSITY DR STE 1000
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27707-6203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-906-4390
Provider Business Practice Location Address Fax Number:
919-287-2707
Provider Enumeration Date:
07/04/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  P020754 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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