MEDICARE: ROBERT G AEBLI LCSW-BACS

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
1	1041C0700X	Clinical Social Worker	12149	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295831345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT G AEBLI LCSW-BACS

Provider Business Mailing Address
First Line	:	1105 HUDSON LN
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-6003
Country	:	US
Telephone Number	:	318-322-6500
Fax Number	:	318-322-5118

Provider Business Practice Location Address
First Line	:	1405 W PINHOOK RD STE 102
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3100
Country	:	US
Telephone Number	:	337-761-6001
Fax Number	:	337-735-4005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	12/12/2025

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