Provider Demographics
NPI:1598519639
Name:SENTOVICH, LAUREN LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:LYNN
Last Name:SENTOVICH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 RIPPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-6029
Mailing Address - Country:US
Mailing Address - Phone:813-608-2254
Mailing Address - Fax:
Practice Address - Street 1:1134 BELL SHOALS RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-8813
Practice Address - Country:US
Practice Address - Phone:813-315-8648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW222731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical