Provider Demographics
NPI:1063781391
Name:STENZEL, LAUREN V (LCSW, MSW)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:V
Last Name:STENZEL
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 SW THE PINES DR
Mailing Address - Street 2:
Mailing Address - City:DEPOE BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97341-9598
Mailing Address - Country:US
Mailing Address - Phone:505-288-1733
Mailing Address - Fax:
Practice Address - Street 1:206 SW THE PINES DR
Practice Address - Street 2:
Practice Address - City:DEPOE BAY
Practice Address - State:OR
Practice Address - Zip Code:97341-9598
Practice Address - Country:US
Practice Address - Phone:505-288-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-15
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL0052501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical