MEDICARE: THOMAS JOSEPH TOUPS 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
1	1041C0700X	Clinical Social Worker	2333	LA

General Provider Information

NPI Number	:	1659893931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS JOSEPH TOUPS LCSW

Provider Business Mailing Address
First Line	:	3600 RIDGEWAY DR
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-1833
Country	:	US
Telephone Number	:	985-630-2601
Fax Number	:

Provider Business Practice Location Address
First Line	:	1004 W THOMAS ST
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70401-3040
Country	:	US
Telephone Number	:	985-230-0111
Fax Number	:

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

Provider Enumeration Date	:	07/08/2017
Last Update Date	:	07/08/2017

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