Provider Demographics
NPI:1316079510
Name:MORTON, LAUREN ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:MORTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:HIRSHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:6994 EL CAMINO REAL
Mailing Address - Street 2:SUITE 205-I
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-4116
Mailing Address - Country:US
Mailing Address - Phone:760-840-7508
Mailing Address - Fax:760-931-9333
Practice Address - Street 1:6994 EL CAMINO REAL
Practice Address - Street 2:SUITE 205-I
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-4116
Practice Address - Country:US
Practice Address - Phone:760-840-7508
Practice Address - Fax:760-931-9333
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20796101YM0800X
CA257931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA25793OtherLCSW
CA20796OtherASW
CA9920OtherUNITED BEHAVIORAL HEALTH