Healthcare Provider Details

I. General information

NPI: 1750983797
Provider Name (Legal Business Name): LAUREN ARONSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 5TH AVE FL 3
NEW YORK NY
10029-3119
US

IV. Provider business mailing address

35 LOUIS DR
MELVILLE NY
11747-1908
US

V. Phone/Fax

Practice location:
  • Phone: 212-426-3400
  • Fax:
Mailing address:
  • Phone: 631-487-6277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number110216
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number110216
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: