Provider Demographics
NPI:1942955125
Name:LAWSON, KRISTIN LEIGH (LISW-CP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LEIGH
Last Name:LAWSON
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 BARRISTER CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-8876
Mailing Address - Country:US
Mailing Address - Phone:803-414-1648
Mailing Address - Fax:
Practice Address - Street 1:3971 SOUTHEASTERN WAY
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-2442
Practice Address - Country:US
Practice Address - Phone:803-702-0209
Practice Address - Fax:803-973-0620
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC147591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty