Provider Demographics
NPI:1346415775
Name:CAIN, DAPHNE SUE (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:DAPHNE
Middle Name:SUE
Last Name:CAIN
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-5118
Mailing Address - Country:US
Mailing Address - Phone:225-389-0009
Mailing Address - Fax:
Practice Address - Street 1:1651 THIBODEAUX AVE STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-8271
Practice Address - Country:US
Practice Address - Phone:225-216-3037
Practice Address - Fax:225-216-3038
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-27
Last Update Date:2008-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA86711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical