Provider Demographics
NPI:1861896623
Name:DOYLE, LAUREN (LICSW)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:SOUSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 FLOYD RD
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-4822
Mailing Address - Country:US
Mailing Address - Phone:978-427-2042
Mailing Address - Fax:
Practice Address - Street 1:271 DERRY RD
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03052-2708
Practice Address - Country:US
Practice Address - Phone:604-338-1586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1246281041C0700X
MA2255161041C0700X
NH26241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical