Provider Demographics
NPI:1932843844
Name:LAWSON, NICHOLAS W (LCSW)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:W
Last Name:LAWSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 N ASTOR ST APT A
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1563
Mailing Address - Country:US
Mailing Address - Phone:914-708-0558
Mailing Address - Fax:
Practice Address - Street 1:12 N ASTOR ST APT A
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1563
Practice Address - Country:US
Practice Address - Phone:917-653-2670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0975961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical