Provider Demographics
NPI:1588330120
Name:PFILE, LAUREN E (LCSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:PFILE
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 1:333 W STATE ST APT 422
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53203-1322
Mailing Address - Country:US
Mailing Address - Phone:920-334-0243
Mailing Address - Fax:
Practice Address - Street 1:333 W STATE ST APT 422
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53203-1322
Practice Address - Country:US
Practice Address - Phone:920-334-0243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI131903104100000X
WI11368-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100178711Medicaid