Henry, Lauren W
Henry, Lauren W is an sole proprietor health care provider with primary practice located at 295 Main St S 2Nd Floor, Woodbury CT 06798-3408. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Henry, Lauren W can be contacted via phone (917) 886-9073.Contact Information
Primary practice address
295 Main St S 2Nd Floor
Woodbury CT 06798-3408
Phone: (917) 886-9073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8550 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 079452 | New York |
Profile Details
| NPI number | 1841587698 |
|---|---|
| LBN Legal business name | Henry, Lauren W |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2011 |
| Last updated | Jul 9th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841587698 | NPPES |
| New York | MEDICAID | 02850677 |
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