Provider Demographics
NPI:1154526838
Name:STIEGLER, MONIQUE (LCSW)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:STIEGLER
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 1:102 VILLAGE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-5354
Mailing Address - Country:US
Mailing Address - Phone:985-640-4643
Mailing Address - Fax:985-863-9249
Practice Address - Street 1:102 VILLAGE ST
Practice Address - Street 2:SUITE C
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5354
Practice Address - Country:US
Practice Address - Phone:985-640-4643
Practice Address - Fax:985-863-9249
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA35241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical