Provider Demographics
NPI:1346551132
Name:MCNAMARA, LAUREN ASHLEY (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:ASHLEY
Last Name:MCNAMARA
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 1:1220 IROQUOIS AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8542
Mailing Address - Country:US
Mailing Address - Phone:815-603-7669
Mailing Address - Fax:
Practice Address - Street 1:1220 IROQUOIS AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8542
Practice Address - Country:US
Practice Address - Phone:815-603-7669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490156301041C0700X
101Y00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker