Provider Demographics
NPI:1194160820
Name:CAFFREY, LAWRENCE (LCSW)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:
Last Name:CAFFREY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:WILLIMANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06226-2528
Mailing Address - Country:US
Mailing Address - Phone:860-450-7122
Mailing Address - Fax:860-450-7127
Practice Address - Street 1:13 WATER ST
Practice Address - Street 2:
Practice Address - City:DANIELSON
Practice Address - State:CT
Practice Address - Zip Code:06239-2838
Practice Address - Country:US
Practice Address - Phone:860-779-5852
Practice Address - Fax:860-779-5000
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT82471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical