Provider Demographics
NPI:1366458259
Name:NAU, LOUIS JOHN (LCSW)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:JOHN
Last Name:NAU
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:NY
Mailing Address - Zip Code:14489-1553
Mailing Address - Country:US
Mailing Address - Phone:315-946-9508
Mailing Address - Fax:
Practice Address - Street 1:671 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-3414
Practice Address - Country:US
Practice Address - Phone:315-789-2613
Practice Address - Fax:315-789-2524
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0183651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical