| Tamela Sue Aidt, LCSW | |
| 
					7777 Hennessy Blvd Ste 503, Baton Rouge, LA 70808-4366  | |
| (225) 765-2273 | |
| (225) 374-0251 | 
| Full Name | Tamela Sue Aidt | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 7777 Hennessy Blvd Ste 503, Baton Rouge, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962162636 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10606 (Louisiana) | Primary | 
| Entity Name | Our Lady Of The Lake Physician Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tamela Sue Aidt, LCSW 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-2273  | Tamela Sue Aidt, LCSW 7777 Hennessy Blvd Ste 503, Baton Rouge, LA 70808-4366 Ph: (225) 765-2273  | 
Deanna Muse Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8752 Quarters Lake Rd Bldg 9, Baton Rouge, LA 70809 Phone: 225-922-9122 Fax: 225-922-9125  | |
Stephanie Gordon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 S Acadian Thruway, Baton Rouge, LA 70808 Phone: 225-336-8700  | |
Darlene Cunningham, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4939 Jamestown Ave, Suite 101, Baton Rouge, LA 70808 Phone: 225-302-0500  | |
Kadario Derell Drumgoole,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3084 Westfork Dr Ste C, Baton Rouge, LA 70816 Phone: 225-296-6083  | |
John Bryant Lejeune, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3455 Florida St, Baton Rouge, LA 70806 Phone: 225-256-6604  | |
Jacqueline Woods, LCSW-BACS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10473 Old Hammond Hwy, Baton Rouge, LA 70816 Phone: 225-924-1910  | |
Elizabeth Marie Moss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9851 Jefferson Hwy # H36, Baton Rouge, LA 70809 Phone: 225-571-7157  |