Provider Demographics
NPI:1710375563
Name:SAFRAN, LAUREN RACHEL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:RACHEL
Last Name:SAFRAN
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 1:112 STONEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-4039
Mailing Address - Country:US
Mailing Address - Phone:917-658-0624
Mailing Address - Fax:
Practice Address - Street 1:16 DAKIN AVE # 114
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2826
Practice Address - Country:US
Practice Address - Phone:917-658-0624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0744881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical