Provider Demographics
NPI:1215172986
Name:MCEVOY, LAUREN P (LCSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:P
Last Name:MCEVOY
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 1:79 ROKEBY RD
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1917
Mailing Address - Country:US
Mailing Address - Phone:203-241-0585
Mailing Address - Fax:
Practice Address - Street 1:79 ROKEBY RD
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1917
Practice Address - Country:US
Practice Address - Phone:203-241-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0804601041C0700X
MA1178511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical