Samantha Larocque, LCSW | |
2829 4th Ave Ste 150, Lake Charles, LA 70601-7897 | |
(337) 480-7800 | |
(337) 474-4552 |
Full Name | Samantha Larocque |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 16 Years |
Location | 2829 4th Ave Ste 150, Lake Charles, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497141683 | NPI | - | NPPES |
2509551 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 13192 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mmg Archer Institute, Llc | 7719227115 | 16 |
Entity Name | Mmg Archer Institute, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952897688 PECOS PAC ID: 7719227115 Enrollment ID: O20190321002073 |
Mailing Address | Practice Location Address |
---|---|
Samantha Larocque, LCSW Po Box 123977 Dept 3977, Dallas, TX 75312-0001 Ph: (337) 494-2772 | Samantha Larocque, LCSW 2829 4th Ave Ste 150, Lake Charles, LA 70601-7897 Ph: (337) 480-7800 |
Dr. Debbie Thomas, LCSW, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1717 Illinois St, Lake Charles, LA 70607 Phone: 337-433-1111 Fax: 337-433-1111 | |
Ms. Consuela Marie Colston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2009 Griffin St, Lake Charles, LA 70601 Phone: 337-377-8008 Fax: 337-326-4443 | |
Angela Erion Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2903 1st Ave, Lake Charles, LA 70601 Phone: 337-478-6480 Fax: 337-474-9637 | |
Amanda Turner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4012 Avenue H, Lake Charles, LA 70615 Phone: 337-433-3786 | |
Lloyd Thurston Kelley, L..C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2829 4th Ave Ste 150, Lake Charles, LA 70601 Phone: 337-480-7800 Fax: 337-474-4552 | |
Sharon Prudhomme, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 W Prien Lake Rd, Suite 212, Lake Charles, LA 70601 Phone: 318-229-6662 | |
Mr. Patrick Hebert, LCSW #10194 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3505 5th Ave, Lake Charles, LA 70607 Phone: 337-475-4861 Fax: 337-475-3105 |