Provider Demographics
NPI:1811562440
Name:SANDERS, LAUREN (LAPSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:LAPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MADISON ST APT 619
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-1768
Mailing Address - Country:US
Mailing Address - Phone:270-839-5240
Mailing Address - Fax:
Practice Address - Street 1:22 CENTURY BLVD STE 300
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3774
Practice Address - Country:US
Practice Address - Phone:502-907-3628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN117871104100000X
KY254781104100000X
WA61196452104100000X
WI132270-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker