Provider Demographics
NPI:1285694117
Name:STRAUSS, LAWRENCE IRWIN (LCSW; ACSW;DCSW,BCD)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:IRWIN
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:LCSW; ACSW;DCSW,BCD
Other - Prefix:MR
Other - First Name:LARRY
Other - Middle Name:
Other - Last Name:STRAUSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DCSW, BCD
Mailing Address - Street 1:242 GENA CT
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-6300
Mailing Address - Country:US
Mailing Address - Phone:757-872-0735
Mailing Address - Fax:
Practice Address - Street 1:242 GENA CT
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-6300
Practice Address - Country:US
Practice Address - Phone:757-872-0735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VALCSW#0904002299101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health