Provider Demographics
NPI:1780096693
Name:MERCLEAN, LAUREN (LSW)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:MERCLEAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4019 WINTERBURN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-1158
Mailing Address - Country:US
Mailing Address - Phone:412-246-5338
Mailing Address - Fax:
Practice Address - Street 1:53 DARBY RD STE F
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1480
Practice Address - Country:US
Practice Address - Phone:484-321-6277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW 129206104100000X
PACW0182511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker