Provider Demographics
NPI:1528348026
Name:PATZ, LAUREN CHASE (LCSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:CHASE
Last Name:PATZ
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 1:5868 E 71ST ST STE E370
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-5879
Mailing Address - Country:US
Mailing Address - Phone:812-491-7739
Mailing Address - Fax:317-981-1508
Practice Address - Street 1:5868 E 71ST ST STE E370
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-5879
Practice Address - Country:US
Practice Address - Phone:812-746-2490
Practice Address - Fax:317-981-1508
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-28
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005764A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical