Provider Demographics
NPI:1255516381
Name:ROHRS GARGANO, LAURE ANN (LCSW CAC CCDP MAC)
Entity type:Individual
Prefix:MRS
First Name:LAURE
Middle Name:ANN
Last Name:ROHRS GARGANO
Suffix:
Gender:F
Credentials:LCSW CAC CCDP MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 MCRAE LN
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-6624
Mailing Address - Country:US
Mailing Address - Phone:570-490-3028
Mailing Address - Fax:888-322-9634
Practice Address - Street 1:115 FARLEY CIR STE 303
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9252
Practice Address - Country:US
Practice Address - Phone:570-490-3028
Practice Address - Fax:800-856-8690
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2889101YA0400X
PA6314101YM0800X
101YP2500X, 104100000X
PACW0156931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical