Provider Demographics
NPI:1174196455
Name:OESTMANN, LAUREN RACHELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:RACHELLE
Last Name:OESTMANN
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 1:6000 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-3563
Mailing Address - Country:US
Mailing Address - Phone:618-889-1094
Mailing Address - Fax:
Practice Address - Street 1:6000 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:CARTERVILLE
Practice Address - State:IL
Practice Address - Zip Code:62918-3563
Practice Address - Country:US
Practice Address - Phone:618-889-1094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.014605101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health