Provider Demographics
NPI:1457189268
Name:GIL HAYES, LAUREN ELIZABETH (LISW, LCSW, LMSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:GIL HAYES
Suffix:
Gender:F
Credentials:LISW, LCSW, LMSW
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:GILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2723 IOWA ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-1830
Mailing Address - Country:US
Mailing Address - Phone:815-575-5376
Mailing Address - Fax:
Practice Address - Street 1:2723 IOWA ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-1830
Practice Address - Country:US
Practice Address - Phone:815-575-5376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490272011041C0700X
IA1002161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical