Provider Demographics
NPI:1578230769
Name:TOPEL, LAUREN BRADLEY (LSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:BRADLEY
Last Name:TOPEL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 VIRGINIA ST APT 42
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5247
Mailing Address - Country:US
Mailing Address - Phone:847-361-0890
Mailing Address - Fax:
Practice Address - Street 1:3245 VIRGINIA ST APT 42
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-5247
Practice Address - Country:US
Practice Address - Phone:847-361-0890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0264741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical