Provider Demographics
NPI:1134347529
Name:MCKINNEY, LAUREN EDWARD (LCSW)
Entity type:Individual
Prefix:MR
First Name:LAUREN
Middle Name:EDWARD
Last Name:MCKINNEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3503 FORT ROBERDEAU AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-3221
Mailing Address - Country:US
Mailing Address - Phone:814-515-3290
Mailing Address - Fax:
Practice Address - Street 1:3503 FORT ROBERDEAU AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-3221
Practice Address - Country:US
Practice Address - Phone:814-515-3290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker