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NPI Code Detail

MEDICARE: MS. TYSHICA RHODES LOFTON LCSW

MEDICARE: MS. TYSHICA RHODES LOFTON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker12024-CNV
21041C0700XClinical Social Worker10516LA

General Provider Information

NPI Number : 1942656921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TYSHICA RHODES LOFTON LCSW
Provider Business Mailing Address
First Line : 1594 ALPINE HILLS AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7620
Country : US
Telephone Number : 504-250-1888
Fax Number :
Provider Business Practice Location Address
First Line : 1901 MANHATTAN BLVD BLDG D
Second Line :
City : HARVEY
State : LA
Zip : 70058-3583
Country : US
Telephone Number : 504-301-6330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2016
Last Update Date : 01/05/2026

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