Provider Demographics
NPI:1366232506
Name:RAINEY, LAURA ELISE (LICSW-S)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ELISE
Last Name:RAINEY
Suffix:
Gender:
Credentials:LICSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-4214
Mailing Address - Country:US
Mailing Address - Phone:334-332-0090
Mailing Address - Fax:
Practice Address - Street 1:306 N 4TH ST
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-4214
Practice Address - Country:US
Practice Address - Phone:334-332-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5273C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical