Provider Demographics
NPI:1831429471
Name:LAWLOR, DEBRA ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ANN
Last Name:LAWLOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ADELAIDE ST
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3702
Mailing Address - Country:US
Mailing Address - Phone:203-536-0553
Mailing Address - Fax:
Practice Address - Street 1:254B MILL ST
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5808
Practice Address - Country:US
Practice Address - Phone:203-536-0553
Practice Address - Fax:203-846-0799
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0040411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical