Provider Demographics
NPI:1346452000
Name:CROSLEY, LAURI L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAURI
Middle Name:L
Last Name:CROSLEY
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 1:900 BAYCHESTER AVE
Mailing Address - Street 2:APT. 14A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-1704
Mailing Address - Country:US
Mailing Address - Phone:347-427-1967
Mailing Address - Fax:
Practice Address - Street 1:401 STATE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1706
Practice Address - Country:US
Practice Address - Phone:718-625-1388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR056530-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker