Provider Demographics
NPI:1710988084
Name:CROSS, LAWRENCE E (LCSW)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:E
Last Name:CROSS
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 1:129 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:NEW WILMINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16142-1201
Mailing Address - Country:US
Mailing Address - Phone:724-901-0901
Mailing Address - Fax:
Practice Address - Street 1:129 S MARKET ST
Practice Address - Street 2:
Practice Address - City:NEW WILMINGTON
Practice Address - State:PA
Practice Address - Zip Code:16142-1201
Practice Address - Country:US
Practice Address - Phone:724-901-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW144661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical