Provider Demographics
NPI:1881220366
Name:CONNER, LAURA ELIZABETH (MSW, LCSW-A)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ELIZABETH
Last Name:CONNER
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:CONNER-HUGHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW-A
Mailing Address - Street 1:3800 MONROE RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-7750
Mailing Address - Country:US
Mailing Address - Phone:704-980-8509
Mailing Address - Fax:
Practice Address - Street 1:3800 MONROE RD STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7750
Practice Address - Country:US
Practice Address - Phone:704-980-8509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0144321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical