Provider Demographics
NPI:1063136919
Name:MCCARTHY, LAUREN PRYCE (PHD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:PRYCE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1781 YORK ST APT 447
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1258
Mailing Address - Country:US
Mailing Address - Phone:610-662-4461
Mailing Address - Fax:
Practice Address - Street 1:1781 YORK ST APT 447
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1258
Practice Address - Country:US
Practice Address - Phone:610-662-4461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0203381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW020338OtherSTATE LICENSE - LICENSED CLINICAL SOCIAL WORKER