Provider Demographics
NPI:1518609593
Name:UTTKE, LAUREN OLETA (MSW, LCSW-A)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:OLETA
Last Name:UTTKE
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:OLETA
Other - Last Name:BEARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW-A
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28574-0072
Mailing Address - Country:US
Mailing Address - Phone:803-429-1108
Mailing Address - Fax:
Practice Address - Street 1:488 HEATHERLY HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:NC
Practice Address - Zip Code:28773-7747
Practice Address - Country:US
Practice Address - Phone:980-272-0360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical