Provider Demographics
NPI:1063563393
Name:ESSEN, LAURA (LCSW)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:ESSEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 CORAL WAY
Mailing Address - Street 2:UNIT#302
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-7504
Mailing Address - Country:US
Mailing Address - Phone:305-823-3438
Mailing Address - Fax:
Practice Address - Street 1:15485 EAGLE NEST LN
Practice Address - Street 2:SUITE # 130
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2247
Practice Address - Country:US
Practice Address - Phone:305-823-3438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW#00023381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical