Provider Demographics
NPI:1417303371
Name:NOOITMEER-BAPTISTE, DIEUDONNEE YVONNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DIEUDONNEE
Middle Name:YVONNE
Last Name:NOOITMEER-BAPTISTE
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 1:9720 CARLSDALE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-3805
Mailing Address - Country:US
Mailing Address - Phone:813-420-5194
Mailing Address - Fax:
Practice Address - Street 1:3805 BISCAYNE DR
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-4628
Practice Address - Country:US
Practice Address - Phone:407-510-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW125431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical