Provider Demographics
NPI:1215502133
Name:CURRIE-LAWRENCE, CHANECE A (LISW)
Entity type:Individual
Prefix:
First Name:CHANECE
Middle Name:A
Last Name:CURRIE-LAWRENCE
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 PEMBROKE BLVD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44904-1118
Mailing Address - Country:US
Mailing Address - Phone:419-632-0577
Mailing Address - Fax:
Practice Address - Street 1:60 PEMBROKE BLVD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44904-1118
Practice Address - Country:US
Practice Address - Phone:513-669-9763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.25068261041C0700X
OHS.1904040104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical