Provider Demographics
NPI:1457500902
Name:BALDWIN OKEEFE, LAURA A (LMSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:BALDWIN OKEEFE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:A
Other - Last Name:OKEEFE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:51 BEDFORD RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2135
Mailing Address - Country:US
Mailing Address - Phone:914-232-7272
Mailing Address - Fax:
Practice Address - Street 1:51 BEDFORD RD
Practice Address - Street 2:SUITE 7
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2135
Practice Address - Country:US
Practice Address - Phone:914-232-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2012-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0753371041C0700X
NY0789211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133480517OtherWORK FOR CIS COUNSELING CENTER, INC
NY133480517Medicaid
NY078921OtherKATONAH, NY