Healthcare Provider Details

I. General information

NPI: 1588751341
Provider Name (Legal Business Name): BARBARA NEFF ST. ROMAIN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 E. KALISTE SALOOM RD. SUITE C-3
LAFAYETTE LA
70508
US

IV. Provider business mailing address

714 E. KALISTE SALOOM RD. SUITE C-3
LAFAYETTE LA
70508
US

V. Phone/Fax

Practice location:
  • Phone: 337-233-5127
  • Fax: 337-837-4480
Mailing address:
  • Phone: 337-233-5127
  • Fax: 337-837-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1048
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: