Provider Demographics
NPI:1023074762
Name:LAWSON, LAUREL J (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:J
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 W CONE BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-4027
Mailing Address - Country:US
Mailing Address - Phone:336-545-1738
Mailing Address - Fax:866-596-3021
Practice Address - Street 1:2307 W CONE BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4027
Practice Address - Country:US
Practice Address - Phone:336-545-1738
Practice Address - Fax:866-596-3021
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0022181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1371COtherBCBS PROVIDER ID
NC6002603Medicaid