Provider Demographics
NPI:1417622085
Name:WEBSTER, LAUREN (MSW LP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:MSW LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E 11TH ST APT 5E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4412
Mailing Address - Country:US
Mailing Address - Phone:516-695-8760
Mailing Address - Fax:
Practice Address - Street 1:57 SAINT MARKS PL # 5E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-7902
Practice Address - Country:US
Practice Address - Phone:516-695-8760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-15
Last Update Date:2021-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker