MEDICARE: LAUREN BURLING LMSW

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	101Y00000X	Counselor	106269-1	NY
2	101Y00000X	Counselor	CW020273	PA

General Provider Information

NPI Number	:	1326605171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN BURLING LMSW

Provider Business Mailing Address
First Line	:	12450 PERRY HWY
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-7387
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12450 PERRY HWY
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-7387
Country	:	US
Telephone Number	:	215-694-6054
Fax Number	:

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

Provider Enumeration Date	:	05/28/2019
Last Update Date	:	08/13/2024

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Directions to “ LAUREN BURLING LMSW” Practice Location

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