Provider Demographics
NPI:1063508927
Name:LASYS, CLAUDIA (LCSW)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:LASYS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:SAATHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1415 VERMONT ST
Mailing Address - Street 2:P.O. BOX 7005
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-3119
Mailing Address - Country:US
Mailing Address - Phone:217-224-4453
Mailing Address - Fax:217-224-9383
Practice Address - Street 1:1415 VERMONT ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-3119
Practice Address - Country:US
Practice Address - Phone:217-224-4453
Practice Address - Fax:217-224-9383
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL732001OtherBLUE CROSS BLUE SHIELD