Healthcare Provider Details
I. General information
NPI: 1013663699
Provider Name (Legal Business Name): NATALIA DEBORAH SKEF-PROMOSLOVSKY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/23/2022
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2521 JENA ST # 202
NEW ORLEANS LA
70115-6322
US
IV. Provider business mailing address
2404 JENA ST
NEW ORLEANS LA
70115-5908
US
V. Phone/Fax
- Phone: 504-982-1701
- Fax:
- Phone: 504-982-1701
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | 14646 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 14646 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: