Lauren O'Connell, LICSW
Social Worker, Clinical in Boston, MA. Individual provider (NPI-1).
NPI number1710467006
StatusActive
Last updated in NPPESAug 16, 2018
Details
- NPI
- 1710467006
- Entity type
- Individual (NPI-1)
- Name
- Lauren O'Connell
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2018
- Last updated
- Aug 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 117210 | MA | Yes |
Practice location
55 Fruit StBoston, MA 02114-2696
Phone 860-305-4050
Mailing address
50 Station Lndg Apt 418Medford, MA 02155-5184
Phone 860-305-4050
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