Provider Demographics
NPI:1376042218
Name:SOULES, LAUREN C (LCSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:C
Last Name:SOULES
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 1:1 LAURANA LN
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9740
Mailing Address - Country:US
Mailing Address - Phone:978-407-9506
Mailing Address - Fax:
Practice Address - Street 1:1 LAURANA LN
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9740
Practice Address - Country:US
Practice Address - Phone:978-407-9506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2182521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical