MEDICARE: BRANDI PLAISANCE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	9298	LA

General Provider Information

NPI Number	:	1750076436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI PLAISANCE LCSW

Provider Business Mailing Address
First Line	:	1801 WEDGWOOD DR
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-7428
Country	:	US
Telephone Number	:	504-655-0503
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 WEDGWOOD DR
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-7428
Country	:	US
Telephone Number	:	504-655-0503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2023
Last Update Date	:	04/07/2023

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Directions to “ BRANDI PLAISANCE LCSW” Practice Location

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