Provider Demographics
NPI:1194154575
Name:SHECHTER, LAUREN DUNIVANT (LCSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:DUNIVANT
Last Name:SHECHTER
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 1:7701 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2413
Mailing Address - Country:US
Mailing Address - Phone:718-232-1351
Mailing Address - Fax:718-837-5676
Practice Address - Street 1:917 SW OAK ST STE 220
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2805
Practice Address - Country:US
Practice Address - Phone:917-765-5997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY082964OtherLCSW
ORL7779OtherLICENSED CLINICAL SOCIAL WORKER