Provider Demographics
NPI:1003310780
Name:LAUER, BELINDA KATHLEEN (LISW-S)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:KATHLEEN
Last Name:LAUER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11535 COLCHESTER LN
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-9314
Mailing Address - Country:US
Mailing Address - Phone:440-991-6038
Mailing Address - Fax:
Practice Address - Street 1:8456 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-4512
Practice Address - Country:US
Practice Address - Phone:402-306-6115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.20020011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical