Provider Demographics
NPI:1891089116
Name:APPLEGATE, LAURA MARESCA (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MARESCA
Last Name:APPLEGATE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MARESCA
Other - Last Name:TURICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:36 PLAZA ST E
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5048
Mailing Address - Country:US
Mailing Address - Phone:929-244-3060
Mailing Address - Fax:
Practice Address - Street 1:36 PLAZA ST E
Practice Address - Street 2:SUITE 1A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-5048
Practice Address - Country:US
Practice Address - Phone:929-244-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0818301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical