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2820 Athania Pkwy Ste 3 Metairie LA 70002-5981 | |
(504) 291-3898 | |
Not Available |
Full Name | |
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Speciality | Social Worker |
Location | 2820 Athania Pkwy Ste 3, Metairie, Louisiana |
Authorized Official Name and Position | Lorey Delap (PRESIDENT PROVIDER) |
Authorized Official Contact | 5042913898 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3 Executive Park Dr Ste 222 Bedford NH 03110-6985 Ph: (504) 291-3898 | 2820 Athania Pkwy Ste 3 Metairie LA 70002-5981 Ph: (504) 291-3898 |
NPI Number | 1346897337 |
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Provider Enumeration Date | 08/23/2019 |
Last Update Date | 12/23/2024 |
Certification Date | 12/23/2024 |
Medicare PECOS PAC ID | 3274863931 |
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Medicare Enrollment ID | O20190923001654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346897337 | NPI | - | NPPES |
1134303274 | Other | INDIVIDUAL NPI | |
7329 | Other | LA | STATE SOCIAL WORK LICENSE |
3228 | Other | NH | STATE SOCIAL WORK LICENSE |
1700611902 | Other | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lorey Delap |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134303274 PECOS PAC ID: 1052481850 Enrollment ID: I20080605000526 |
Lynn J. Friedman, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Loveland St, Metairie, LA 70006 Phone: 504-455-6569 | |
Bianchini-etherton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Houma Blvd, Suite #223, Metairie, LA 70006 Phone: 504-780-1702 Fax: 504-780-1705 | |