Provider Demographics
NPI:1134506165
Name:WOHL, LAUREN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:WOHL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 E 79TH ST
Mailing Address - Street 2:APT. 8U
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1034
Mailing Address - Country:US
Mailing Address - Phone:347-256-6702
Mailing Address - Fax:
Practice Address - Street 1:435 E 79TH ST
Practice Address - Street 2:APT. 8U
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1034
Practice Address - Country:US
Practice Address - Phone:347-256-6702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0829681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical