Provider Demographics
NPI:1417005851
Name:SENN, PRISCILLA LYNN I (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PRISCILLA
Middle Name:LYNN
Last Name:SENN
Suffix:I
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:PRISCILLA
Other - Middle Name:LYNN
Other - Last Name:SENN
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2404 DUVAL DRIVE
Mailing Address - Street 2:2404 DUVAL DRIVE
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-2986
Mailing Address - Country:US
Mailing Address - Phone:131-832-9393
Mailing Address - Fax:131-832-2113
Practice Address - Street 1:2404 DUVAL DR
Practice Address - Street 2:2404 DUVAL DR.
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-2986
Practice Address - Country:US
Practice Address - Phone:318-329-3933
Practice Address - Fax:318-322-1134
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA33991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical