Provider Demographics
NPI:1609106301
Name:DEURLOO, LAWRENCE CRAWFORD (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:CRAWFORD
Last Name:DEURLOO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 PLAZA STREET
Mailing Address - Street 2:#7A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238
Mailing Address - Country:US
Mailing Address - Phone:917-385-2865
Mailing Address - Fax:
Practice Address - Street 1:36 PLAZA STREET
Practice Address - Street 2:#7A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238
Practice Address - Country:US
Practice Address - Phone:917-385-2865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0815721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical