Provider Demographics
NPI:1093464901
Name:FINNEGAN, LAUREN R (LCSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:R
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:R
Other - Last Name:FINNEGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80530-0647
Mailing Address - Country:US
Mailing Address - Phone:925-330-3162
Mailing Address - Fax:
Practice Address - Street 1:241 7TH STREET
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80530-0647
Practice Address - Country:US
Practice Address - Phone:925-330-3162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-20
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009921374104100000X
CO3598281041S0200X
CO099288731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool