Provider Demographics
NPI:1982150975
Name:LAGANA, MAUREEN THERESA (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:THERESA
Last Name:LAGANA
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N MARKET STREET EXT
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-1573
Mailing Address - Country:US
Mailing Address - Phone:302-536-5665
Mailing Address - Fax:855-422-7169
Practice Address - Street 1:400 N MARKET STREET EXT
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-1573
Practice Address - Country:US
Practice Address - Phone:302-536-5665
Practice Address - Fax:855-422-7169
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00012051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical