Healthcare Provider Details

I. General information

NPI: 1871793968
Provider Name (Legal Business Name): PHILIP EDWARD CASTIGLIONE MSW, LCSW-BACS, ACSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 HENNESSY BLVD STE 7000
BATON ROUGE LA
70808-0307
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 225-765-8829
  • Fax: 225-765-8283
Mailing address:
  • Phone: 225-765-8829
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number11852
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: