Provider Demographics
NPI:1518439942
Name:LAMOTTE, TADRECKA (BSW, RSW)
Entity Type:Individual
Prefix:MS
First Name:TADRECKA
Middle Name:
Last Name:LAMOTTE
Suffix:
Gender:F
Credentials:BSW, RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 TEDDY DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1925
Mailing Address - Country:US
Mailing Address - Phone:225-218-4444
Mailing Address - Fax:
Practice Address - Street 1:3040 TEDDY DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1925
Practice Address - Country:US
Practice Address - Phone:225-218-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician