Provider Demographics
NPI:1417221391
Name:STOKES, KIRSTIE JANE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:KIRSTIE
Middle Name:JANE
Last Name:STOKES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 WHISPERING PINES LOOP
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-8523
Mailing Address - Country:US
Mailing Address - Phone:318-792-1566
Mailing Address - Fax:
Practice Address - Street 1:4801 WHISPERING PINES LOOP
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-8523
Practice Address - Country:US
Practice Address - Phone:318-792-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10267104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker