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NPI Code Detail

MEDICARE: MS. TADRECKA LAMOTTE BSW, RSW

MEDICARE: MS. TADRECKA LAMOTTE BSW, RSW
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
1171M00000XCase Manager/Care Coordinator
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1518439942
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TADRECKA LAMOTTE BSW, RSW
Provider Business Mailing Address
First Line : 3040 TEDDY DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1925
Country : US
Telephone Number : 225-218-4444
Fax Number :
Provider Business Practice Location Address
First Line : 12097 OLD HAMMOND HWY STE I4
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-8679
Country : US
Telephone Number : 225-246-8816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2018
Last Update Date : 01/20/2026

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