Provider Demographics
NPI:1518323989
Name:SMITH, ROCQUEL (CSW)
Entity Type:Individual
Prefix:
First Name:ROCQUEL
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4579
Mailing Address - Country:US
Mailing Address - Phone:504-270-9318
Mailing Address - Fax:844-864-7834
Practice Address - Street 1:1913 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-4579
Practice Address - Country:US
Practice Address - Phone:504-270-9318
Practice Address - Fax:844-864-7834
Is Sole Proprietor?:No
Enumeration Date:2016-01-14
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health