Provider Demographics
NPI:1861041873
Name:COLLINS, CLAIRE ELIZABETH (LCSW-BACS)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LCSW-BACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 FEU FOLLET RD # 80485
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4223
Mailing Address - Country:US
Mailing Address - Phone:337-577-3295
Mailing Address - Fax:
Practice Address - Street 1:221 RUE DE JEAN STE 112
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8502
Practice Address - Country:US
Practice Address - Phone:337-607-1684
Practice Address - Fax:337-201-9602
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA140441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical