Lona J Champagne, LCSW

Individual provider Active NPI Clinical Social Worker · Saint Martinville, LA

NPI 1144947847 · NPPES record last updated Oct 24, 2022

Key facts

NPI
1144947847
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C013894 (NC)
Practice address
1019 Country LN
Saint Martinville, LA 70582-6282
Phone
(337) 412-9612
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C013894NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C013894 NC Yes

Addresses

Primary practice location

1019 Country LN
Saint Martinville, LA 70582-6282

Mailing address

1019 Country LN
Saint Martinville, LA 70582-6282
Phone (337) 412-9612

Other providers in Saint Martinville, LA

All providers in Saint Martinville, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.