Healthcare Provider Details

I. General information

NPI: 1497906960
Provider Name (Legal Business Name): MARY ELIZABETH HART LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BESS HART LCSW

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date: 11/22/2024
Reactivation Date: 08/27/2025

III. Provider practice location address

7529 ZIMPEL ST
NEW ORLEANS LA
70118
US

IV. Provider business mailing address

7529 ZIMPEL ST
NEW ORLEANS LA
70118-5021
US

V. Phone/Fax

Practice location:
  • Phone: 504-252-0425
  • Fax:
Mailing address:
  • Phone: 504-252-0425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149013164
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11230
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: