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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGELA MONCEAUX COSTILLA, LCSW

Deactivated

ANGELA MONCEAUX COSTILLA, LCSW is a Clinical Social Worker healthcare provider located in LAFAYETTE, Louisiana. NPI 1194801555 is deactivated in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAFAYETTE, LA

This NPI has been deactivated. The record was deactivated on December 28, 2011. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1194801555
Provider Type
Individual
Gender
Female
NPI Issued
Oct 28, 2006 (5.1666666666667 yrs)
Last Updated
Feb 25, 2015
Deactivated
Dec 28, 2011
License
4565 (LA)

Practice Information

Address
302 DULLES DR
LAFAYETTE, LA, 705063008
Browse LA providers · Browse ZIP 70506
Phone
3372624100
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LAFAYETTE, LA

Name Credential NPI
SANDRA S MATHEWS LCSW 1003818311
MR. CHARLES MICHAEL ST. ROMAIN MSW 1528063302
MR. RONALD WILLIAM BUTCHER LCSW 1184697575
MS. AIMEE D. DOMINIQUE LCSW 1992764799
CHRIS BOLING LCSW 1780647941
STACEY GRACE WILLSON LCSW 1134177678
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.