Provider Demographics
NPI:1649418963
Name:LAIRD, CORINNE ANNE (LCSW-R)
Entity Type:Individual
Prefix:MISS
First Name:CORINNE
Middle Name:ANNE
Last Name:LAIRD
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-3921
Mailing Address - Country:US
Mailing Address - Phone:201-248-1718
Mailing Address - Fax:212-947-2424
Practice Address - Street 1:98 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:NORTH CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-3921
Practice Address - Country:US
Practice Address - Phone:201-248-1718
Practice Address - Fax:212-947-2424
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker