Provider Demographics
NPI:1265781389
Name:LAURO, CHAD MICHAEL (LCSW)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:MICHAEL
Last Name:LAURO
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 1:500 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-581-8658
Mailing Address - Fax:717-581-6491
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-581-8658
Practice Address - Fax:717-581-6491
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131070104100000X
PACW0203151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW020315OtherBUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PASW131070OtherBUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS