Lauren Langford Fasanella, LCSW
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1871057166
StatusActive
Last updated in NPPESJan 30, 2019
Details
- NPI
- 1871057166
- Entity type
- Individual (NPI-1)
- Name
- Lauren Langford Fasanella
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2019
- Last updated
- Jan 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 078511 | NY | Yes |
Other names
- Lauren Langford Fasanella (Professional Name)
Practice location
525 East 71 StreetBelaire 5th Floor
New York, NY 10021-1002
Phone 917-260-4059
Mailing address
520 E 72nd St Apt 12kNew York, NY 10021-5198
Phone 617-842-8676
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