Provider Demographics
NPI:1639209323
Name:NEWCOSTE, CLAUDETTE MARIE (GSW)
Entity type:Individual
Prefix:MISS
First Name:CLAUDETTE
Middle Name:MARIE
Last Name:NEWCOSTE
Suffix:
Gender:F
Credentials:GSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 S COLLEGE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3061
Mailing Address - Country:US
Mailing Address - Phone:337-534-8433
Mailing Address - Fax:337-534-8428
Practice Address - Street 1:913 S COLLEGE RD STE 105
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3061
Practice Address - Country:US
Practice Address - Phone:337-534-8433
Practice Address - Fax:337-534-8428
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA52231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical