Provider Demographics
NPI:1710032024
Name:BAUERSFELD, LYNNE M (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:M
Last Name:BAUERSFELD
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 1:401 AUDUBON BLVD
Mailing Address - Street 2:SUITE 206B
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2676
Mailing Address - Country:US
Mailing Address - Phone:337-232-0060
Mailing Address - Fax:337-232-0062
Practice Address - Street 1:401 AUDUBON BLVD
Practice Address - Street 2:SUITE 206B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2676
Practice Address - Country:US
Practice Address - Phone:337-232-0060
Practice Address - Fax:337-232-0062
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical