Provider Demographics
NPI:1841623741
Name:ADAMS, LAUREN E (LCSW, LCAS-A)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2966 SAINT MARKS RD APT A
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5632
Mailing Address - Country:US
Mailing Address - Phone:865-617-6568
Mailing Address - Fax:
Practice Address - Street 1:2966 SAINT MARKS RD APT A
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5632
Practice Address - Country:US
Practice Address - Phone:865-617-6568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0080591041C0700X
NCC0100391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical