| Carol N. Fontenot Lcsw Llc | |
|
3901 Houma Blvd Suite 305 Metairie LA 70006-2930 | |
| (504) 457-2906 | |
| (504) 309-7845 |
| Full Name | Carol N. Fontenot Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3901 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Carol N. Fontenot (OWNER) |
| Authorized Official Contact | 5044572906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol N. Fontenot Lcsw Llc Po Box 6744 New Orleans LA 70174-6744 Ph: (504) 309-7844 | Carol N. Fontenot Lcsw Llc 3901 Houma Blvd Suite 305 Metairie LA 70006-2930 Ph: (504) 457-2906 |
| NPI Number | 1487040978 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 04/10/2015 |
| Medicare PECOS PAC ID | 7911228010 |
|---|---|
| Medicare Enrollment ID | O20150601002358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487040978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3317 (Louisiana) | Primary |
| Provider Name | Carol N Fontenot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750777256 PECOS PAC ID: 2062733165 Enrollment ID: I20150601002551 |
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