MEDICARE: LAUREN ELIZABETH BYCK LSW

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	SW138250	PA

General Provider Information

NPI Number	:	1982377198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELIZABETH BYCK LSW

Provider Business Mailing Address
First Line	:	107 ARCH ST APT 5J
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-2026
Country	:	US
Telephone Number	:	609-238-0064
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 S 2ND ST STE 301
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-1612
Country	:	US
Telephone Number	:	215-732-8244
Fax Number	:

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

Provider Enumeration Date	:	07/26/2021
Last Update Date	:	05/08/2026

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