Provider Demographics
NPI:1043944077
Name:LITTLE, DAYNA MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:MARIE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DAYNA
Other - Middle Name:HERNANDEZ
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:23720 KIRTLEY DR
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-5538
Mailing Address - Country:US
Mailing Address - Phone:225-776-6056
Mailing Address - Fax:
Practice Address - Street 1:23720 KIRTLEY DR
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-5538
Practice Address - Country:US
Practice Address - Phone:225-776-6056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA43041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical