Healthcare Provider Details

I. General information

NPI: 1942037320
Provider Name (Legal Business Name): LAUREN RENEE ZANABONI MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13165 CR 3610
ST. JAMES MO
65559
US

IV. Provider business mailing address

1525 HAWK ISLAND DR
OSAGE BEACH MO
65065-3383
US

V. Phone/Fax

Practice location:
  • Phone: 844-424-3577
  • Fax:
Mailing address:
  • Phone: 573-552-1275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2024020638
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: