Provider Demographics
NPI:1356664296
Name:HUFNAGEL, LAUREN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HUFNAGEL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5503
Mailing Address - Country:US
Mailing Address - Phone:410-583-7443
Mailing Address - Fax:410-583-0711
Practice Address - Street 1:602 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5503
Practice Address - Country:US
Practice Address - Phone:410-583-7443
Practice Address - Fax:410-583-0711
Is Sole Proprietor?:No
Enumeration Date:2010-03-07
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD154961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical