Provider Demographics
NPI:1639565625
Name:WESTBROOK, LASHAWN (LLMSW)
Entity Type:Individual
Prefix:
First Name:LASHAWN
Middle Name:
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34556 BUNKER HILL DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-3225
Mailing Address - Country:US
Mailing Address - Phone:248-579-0856
Mailing Address - Fax:248-489-1940
Practice Address - Street 1:34556 BUNKER HILL DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3225
Practice Address - Country:US
Practice Address - Phone:248-579-0856
Practice Address - Fax:248-489-1940
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010959451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical