Provider Demographics
NPI:1487864518
Name:TRAPOLIN, THERESE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:THERESE
Middle Name:MARIE
Last Name:TRAPOLIN
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 1:10059 SAINT PAUL AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-1467
Mailing Address - Country:US
Mailing Address - Phone:504-305-5940
Mailing Address - Fax:
Practice Address - Street 1:4266 W MAIN ST
Practice Address - Street 2:STE 100
Practice Address - City:GRAY
Practice Address - State:LA
Practice Address - Zip Code:70359-6409
Practice Address - Country:US
Practice Address - Phone:985-858-2992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA49861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical