Provider Demographics
NPI:1699069161
Name:LAINAS, ALICIA M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:M
Last Name:LAINAS
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 1:287 BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-1374
Mailing Address - Country:US
Mailing Address - Phone:203-258-2803
Mailing Address - Fax:
Practice Address - Street 1:287 BENNETT ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-1374
Practice Address - Country:US
Practice Address - Phone:203-258-2803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0032671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical