Provider Demographics
NPI:1023375730
Name:CHAMBERS, LAURA SAYERS (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:SAYERS
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-9484
Mailing Address - Country:US
Mailing Address - Phone:336-629-4255
Mailing Address - Fax:
Practice Address - Street 1:505 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5673
Practice Address - Country:US
Practice Address - Phone:336-625-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0080741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical