Provider Demographics
NPI:1568689503
Name:LEHMAN, LAURIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LAURIE
Other - Middle Name:
Other - Last Name:LEHMAN-PAMINTUAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:13250 WIMBERLY SQ
Mailing Address - Street 2:#207
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4064
Mailing Address - Country:US
Mailing Address - Phone:619-677-4458
Mailing Address - Fax:
Practice Address - Street 1:4560 WINONA AVENUE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115
Practice Address - Country:US
Practice Address - Phone:619-677-4458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA219821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical