MEDICARE: MRS. LAUREN LEIGH LATORRE 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	1041C0700X	Clinical Social Worker	SW19106	FL

General Provider Information

NPI Number	:	1508309394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN LEIGH LATORRE LCSW

Provider Business Mailing Address
First Line	:	6586 ATLANTIC AVE # 1292
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-1617
Country	:	US
Telephone Number	:	954-609-1709
Fax Number	:

Provider Business Practice Location Address
First Line	:	6586 ATLANTIC AVE # 1292
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-1617
Country	:	US
Telephone Number	:	954-609-1709
Fax Number	:

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

Provider Enumeration Date	:	11/28/2016
Last Update Date	:	07/17/2025

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