Provider Demographics
NPI:1518378090
Name:STEELE, LARA AILEEN (LMSW)
Entity Type:Individual
Prefix:
First Name:LARA
Middle Name:AILEEN
Last Name:STEELE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 W ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-4010
Mailing Address - Country:US
Mailing Address - Phone:864-344-1919
Mailing Address - Fax:864-377-8013
Practice Address - Street 1:316 W ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-4010
Practice Address - Country:US
Practice Address - Phone:864-538-4569
Practice Address - Fax:864-377-8013
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5846104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker