Doctor Name: | MR. JEFFREY R LAWRENCE |
NPI Number: | 1114913720 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | PR007430-1 |
Business Practice Address: | 949 Central Ave Ste 200 Woodmere, NY - 115981204 |
Business Phone Number: | 5163741360 |
Business Fax Number: | 5165360313 |
Mailing Address: | 949 Central Ave, Ste 200 WOODMERE |
State: | NY |
Postal Code: | 115981204 |
Phone Number: | 5163741360 |
Fax Number: | 5165360313 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PR007430-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |