Provider Demographics
NPI:1023407459
Name:FURY, LAUREN (LCSWR)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:FURY
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 PINEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-2718
Mailing Address - Country:US
Mailing Address - Phone:518-577-9954
Mailing Address - Fax:518-252-3499
Practice Address - Street 1:71 PINEWOOD AVE # 2
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-2718
Practice Address - Country:US
Practice Address - Phone:518-577-9954
Practice Address - Fax:518-252-3499
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0833471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
200318055001OtherCAPITAL DISTRIC PHYSICIANS HEALTH PLAN
126725363183OtherHUMANA
NY04242260Medicaid
200318055001OtherCDPHP
566535OtherMHN
NY842806OtherBEACON HEALTH OPTIONS
NY1537819OtherEMBLEM HEALTH
NY200318055001OtherCAPITAL DISTRIC PHYSICIANS HEALTH PLAN
NYNGH171OtherEMPIRE BLUE CROSS
NYNGH171OtherEMPIRE BLUE CROSS BLUE SHIELD
NYNGH171OtherEMPIRE BLUE CROSS