Provider Demographics
NPI:1184751919
Name:MATHEWS, STEVEN DON (LCSW)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DON
Last Name:MATHEWS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 GREEN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2719
Mailing Address - Country:US
Mailing Address - Phone:337-988-1271
Mailing Address - Fax:337-988-1272
Practice Address - Street 1:218 RUE LOUIS XIV STE A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-5766
Practice Address - Country:US
Practice Address - Phone:337-988-1271
Practice Address - Fax:337-988-1272
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA58161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA265906OtherCOMPSYCH
LA265906OtherCOMPSYCH