Provider Demographics
NPI:1841085214
Name:CASTANEDA, LAURA NOEL (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:NOEL
Last Name:CASTANEDA
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 ALDER ST
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-2531
Mailing Address - Country:US
Mailing Address - Phone:406-531-5736
Mailing Address - Fax:
Practice Address - Street 1:707 ALDER ST
Practice Address - Street 2:
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711-2531
Practice Address - Country:US
Practice Address - Phone:406-531-5736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-78721101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health