Provider Demographics
NPI:1588337240
Name:O'CONNOR, LAUREN (LICSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 PENACOOK RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:NH
Mailing Address - Zip Code:03229-3032
Mailing Address - Country:US
Mailing Address - Phone:978-302-8012
Mailing Address - Fax:
Practice Address - Street 1:4 SHORELINE DR UNIT 6
Practice Address - Street 2:
Practice Address - City:BOSCAWEN
Practice Address - State:NH
Practice Address - Zip Code:03303-3523
Practice Address - Country:US
Practice Address - Phone:978-710-9322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH22691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical