Provider Demographics
NPI:1033279039
Name:SPINNER, MADELENE STEPTER (MSW, LCSW,C-SSWS)
Entity Type:Individual
Prefix:
First Name:MADELENE
Middle Name:STEPTER
Last Name:SPINNER
Suffix:
Gender:F
Credentials:MSW, LCSW,C-SSWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14012 SHENANDOAH AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-2925
Mailing Address - Country:US
Mailing Address - Phone:225-278-7057
Mailing Address - Fax:
Practice Address - Street 1:14012 SHENANDOAH AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-2925
Practice Address - Country:US
Practice Address - Phone:225-278-7057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5362104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker