MEDICARE: MS. AVIS CHERIE MCSWAIN MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	104100000X	Social Worker	15633	LA

General Provider Information

NPI Number	:	1164299129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AVIS CHERIE MCSWAIN MSW

Provider Business Mailing Address
First Line	:	7664 LUCERNE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-1837
Country	:	US
Telephone Number	:	504-481-1467
Fax Number	:

Provider Business Practice Location Address
First Line	:	7664 LUCERNE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-1837
Country	:	US
Telephone Number	:	504-481-1467
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2023
Last Update Date	:	02/21/2024

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