Provider Demographics
NPI:1265557557
Name:LEHRMAN, LAURA LOUISE (LICSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LOUISE
Last Name:LEHRMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 DENDRON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02879-2527
Mailing Address - Country:US
Mailing Address - Phone:401-783-7591
Mailing Address - Fax:
Practice Address - Street 1:5 MECHANIC ST
Practice Address - Street 2:SUITE 1
Practice Address - City:HOPE VALLEY
Practice Address - State:RI
Practice Address - Zip Code:02832-2015
Practice Address - Country:US
Practice Address - Phone:401-539-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW014741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical