Provider Demographics
NPI:1861115974
Name:FRIGO, LAKSHMI LUCIA (PHD, MSW)
Entity type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:LUCIA
Last Name:FRIGO
Suffix:
Gender:M
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:CALLISTUS
Other - Last Name:FRIGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, MSW
Mailing Address - Street 1:6631 ALAMO AVE APT 1W
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3130
Mailing Address - Country:US
Mailing Address - Phone:651-319-2742
Mailing Address - Fax:
Practice Address - Street 1:6631 ALAMO AVE APT 1W
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-3130
Practice Address - Country:US
Practice Address - Phone:651-319-2742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240221101041C0700X
NMSWB-2022-10891041C0700X
MN159661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical