Provider Demographics
NPI:1033639257
Name:LAUREN A. FURY LCSW
Entity Type:Organization
Organization Name:LAUREN A. FURY LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FURY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:518-577-9954
Mailing Address - Street 1:71 PINEWOOD AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-2718
Mailing Address - Country:US
Mailing Address - Phone:518-577-9954
Mailing Address - Fax:518-252-3499
Practice Address - Street 1:834 KENWOOD AVE
Practice Address - Street 2:
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-9621
Practice Address - Country:US
Practice Address - Phone:518-577-9954
Practice Address - Fax:518-252-3499
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAUREN FURY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0833471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04242260Medicaid
NGH171OtherEMPIRE BLUE CROSS
126725363183OtherHUMANA
NY200318055001OtherCAPITAL DISTRICT PHYSICIANS HEALTH PLAN
NY842806OtherBEACON HEALTH OPTIONS
NGH171OtherEMPIRE BLUE CROSS BLUE SHIELD
1537819POtherEMBLEM HEALTH
566535OtherMHN
N96R71OtherEMPIRE BLUE CROSS BLUE SHIELD