Healthcare Provider Details

I. General information

NPI: 1558645937
Provider Name (Legal Business Name): LAUREN ZANE POWLEDGE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2011
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 SMITH ST
BROOKLYN NY
11231-5060
US

IV. Provider business mailing address

244 SMITH ST APT 2
BROOKLYN NY
11231-4795
US

V. Phone/Fax

Practice location:
  • Phone: 347-366-0369
  • Fax:
Mailing address:
  • Phone: 347-366-0369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number083696
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: