Individual
LAUREN A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 N COLORADO ST, GILBERT, AZ 85233
(480) 820-0825
(480) 820-7863
Mailing address
4747 N 7TH ST, STE 100, PHOENIX, AZ 85014
(602) 279-7655
(602) 253-8891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW-23024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238160
—
AZ
01
—
LCSW-23024
ARIZONA STATE - LCSW LICENSE
AZ
Enumeration date
05/06/2016
Last updated
05/14/2026
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