Provider Demographics
NPI:1861009490
Name:LAWTON, SYNTHIA LEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SYNTHIA
Middle Name:LEE
Last Name:LAWTON
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 1:9505 HULL STREET ROAD
Mailing Address - Street 2:SUITE D1
Mailing Address - City:N CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236
Mailing Address - Country:US
Mailing Address - Phone:804-477-7691
Mailing Address - Fax:804-477-7828
Practice Address - Street 1:9505 HULL STREET RD STE D1
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1475
Practice Address - Country:US
Practice Address - Phone:804-477-7691
Practice Address - Fax:804-477-7828
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040123701041C0700X
VA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0904012370OtherLICENSE NUMBER