MEDICARE: LAUREN HOLDER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker		KY
2	101YM0800X	Mental Health Counselor	258582	KY
3	1041C0700X	Clinical Social Worker	258582	KY

General Provider Information

NPI Number	:	1174191258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN HOLDER LCSW

Provider Business Mailing Address
First Line	:	PO BOX 39597
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-1249
Country	:	US
Telephone Number	:	859-288-2425
Fax Number	:	844-670-2919

Provider Business Practice Location Address
First Line	:	1111 CENTRE PKWY
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-3208
Country	:	US
Telephone Number	:	859-288-2425
Fax Number	:	844-670-2919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2021
Last Update Date	:	12/03/2025

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Directions to “ LAUREN HOLDER LCSW” Practice Location

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