Provider Demographics
NPI:1396983995
Name:PIOTH, PAMELA ESTELLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:ESTELLE
Last Name:PIOTH
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 1:18285 CUSACHS DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-0349
Mailing Address - Country:US
Mailing Address - Phone:985-635-9066
Mailing Address - Fax:
Practice Address - Street 1:18285 CUSACHS DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-0349
Practice Address - Country:US
Practice Address - Phone:985-635-9066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA43701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical