Therese Marie Trapolin, LCSW

Individual provider Active NPI Clinical Social Worker · Gray, LA

NPI 1487864518 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1487864518
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
4986 (LA)
Practice address
4266 W Main St
Ste 100
Gray, LA 70359-6409
Phone
(985) 858-2992
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4986LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Behavioral Health Northshore Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4986 LA Yes

Addresses

Primary practice location

4266 W Main St
Ste 100
Gray, LA 70359-6409

Mailing address

10059 Saint Paul Ave
River Ridge, LA 70123-1467
Phone (504) 305-5940

Other providers in Gray, LA

All providers in Gray, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.