Provider Demographics
NPI:1750717039
Name:SCRIVENER, LAURA PYPER (LCSW-C)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:PYPER
Last Name:SCRIVENER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:PYPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:821 FIELDCREST RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-9423
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 TALBOT ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3525
Practice Address - Country:US
Practice Address - Phone:410-200-4813
Practice Address - Fax:410-820-5884
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19076104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker