Provider Demographics
NPI:1366697914
Name:MELI, LAUREN K (LCSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:K
Last Name:MELI
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 1:9 MOTT AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3330
Mailing Address - Country:US
Mailing Address - Phone:203-523-5718
Mailing Address - Fax:203-838-3325
Practice Address - Street 1:9 MOTT AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3330
Practice Address - Country:US
Practice Address - Phone:203-523-5718
Practice Address - Fax:203-838-3325
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008492104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker