Healthcare Provider Details

I. General information

NPI: 1841083789
Provider Name (Legal Business Name): ELISE CHAKY LCSW, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 JENA ST STE 103
NEW ORLEANS LA
70115-6322
US

IV. Provider business mailing address

1302 AVENUE A
MARRERO LA
70072-3948
US

V. Phone/Fax

Practice location:
  • Phone: 504-434-2114
  • Fax:
Mailing address:
  • Phone: 225-200-1236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18318
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number15274
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: