Provider Demographics
NPI:1265595920
Name:GAFFNEY, LAURIE MARIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:MARIE
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 W 6TH AVE
Mailing Address - Street 2:2C
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5074
Mailing Address - Country:US
Mailing Address - Phone:406-449-4800
Mailing Address - Fax:406-449-1393
Practice Address - Street 1:34 W 6TH AVE
Practice Address - Street 2:2C
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5074
Practice Address - Country:US
Practice Address - Phone:406-449-4800
Practice Address - Fax:406-449-1393
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCSW3981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical