Provider Demographics
NPI:1942037320
Name:ZANABONI, LAUREN RENEE (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:RENEE
Last Name:ZANABONI
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1389 PORT LN
Mailing Address - Street 2:
Mailing Address - City:OSAGE BEACH
Mailing Address - State:MO
Mailing Address - Zip Code:65065-2669
Mailing Address - Country:US
Mailing Address - Phone:573-552-1275
Mailing Address - Fax:
Practice Address - Street 1:1389 PORT LN
Practice Address - Street 2:
Practice Address - City:OSAGE BEACH
Practice Address - State:MO
Practice Address - Zip Code:65065-2669
Practice Address - Country:US
Practice Address - Phone:573-552-1275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024020638104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker