St. Amour, Lauren E.

St. Amour, Lauren E. is an sole proprietor health care provider with primary practice located at 47 Water St Ste 202 , Mystic CT 06355-2573. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. St. Amour, Lauren E. can be contacted via phone (617) 416-0597.

Contact Information

Primary practice address
47 Water St Ste 202 Mystic CT 06355-2573
Phone: (617) 416-0597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01765 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006819 Connecticut

Profile Details

NPI number 1659412153
LBN Legal business name St. Amour, Lauren E.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Jan 16th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659412153 NPPES
Other 007059145 MEDICARE
MEDICAID LF65486 MEDICARE
Other 600052-721 MEDICARE
Other 31443-5 MEDICARE
Other 413425 MEDICARE
Other 1021740 MEDICARE

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