Provider Demographics
NPI:1538525621
Name:CHOPIN, TSHIEVA
Entity type:Individual
Prefix:
First Name:TSHIEVA
Middle Name:
Last Name:CHOPIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 772
Mailing Address - Street 2:
Mailing Address - City:SAINT ROSE
Mailing Address - State:LA
Mailing Address - Zip Code:70087-0772
Mailing Address - Country:US
Mailing Address - Phone:504-939-5672
Mailing Address - Fax:
Practice Address - Street 1:3 SUMMERTON DR
Practice Address - Street 2:APARTMENT 61J
Practice Address - City:SAINT ROSE
Practice Address - State:LA
Practice Address - Zip Code:70087-3461
Practice Address - Country:US
Practice Address - Phone:504-939-5672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-06
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker