Provider Demographics
NPI:1467608638
Name:CANUEL, LAUREN PATRICIA (LICSW, ACSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:PATRICIA
Last Name:CANUEL
Suffix:
Gender:F
Credentials:LICSW, ACSW, BCD
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:PATRICIA
Other - Last Name:DEQUATTRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5 CEDAR FOREST RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-9599
Mailing Address - Country:US
Mailing Address - Phone:401-595-3746
Mailing Address - Fax:401-766-1993
Practice Address - Street 1:5 CEDAR FOREST RD
Practice Address - Street 2:
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-9599
Practice Address - Country:US
Practice Address - Phone:401-595-3746
Practice Address - Fax:401-766-1993
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW010451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical