Healthcare Provider Details

I. General information

NPI: 1750710265
Provider Name (Legal Business Name): NIA WOODS L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NIA MORRIS L.C.S.W.

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 TERRY PKWY STE O
GRETNA LA
70056-4300
US

IV. Provider business mailing address

PO BOX 740012
ATLANTA GA
30374-0012
US

V. Phone/Fax

Practice location:
  • Phone: 504-534-1229
  • Fax: 504-553-1176
Mailing address:
  • Phone: 504-534-1229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9804
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: