Stevens, Laura

Stevens, Laura is an individual health care provider with primary practice located at 2201 South Ave , South Lake Tahoe CA 96150-7025. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stevens, Laura can be contacted via phone (530) 543-5623.

Contact Information

Primary practice address
2201 South Ave South Lake Tahoe CA 96150-7025
Phone: (530) 543-5623
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW77228 California

Profile Details

NPI number 1902327992
LBN Legal business name Stevens, Laura
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Jun 30th, 2017 - about 7 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 1902327992 NPPES
California MEDICAID LCSW77228

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