Provider Demographics
NPI:1104846799
Name:STOKES, LILLIAN E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:E
Last Name:STOKES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:FORT POLK,
Mailing Address - State:LA
Mailing Address - Zip Code:71459-5100
Mailing Address - Country:US
Mailing Address - Phone:337-531-7072
Mailing Address - Fax:337-531-3025
Practice Address - Street 1:1585 THIRD STREET
Practice Address - Street 2:
Practice Address - City:FORT POLK,
Practice Address - State:LA
Practice Address - Zip Code:71459-5100
Practice Address - Country:US
Practice Address - Phone:337-531-7072
Practice Address - Fax:337-531-3025
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA22281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical