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NPI Code Detail

MEDICARE: EDNA THOMPSON METCALF LCSW-BACS

MEDICARE:   EDNA THOMPSON METCALF  LCSW-BACS
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
11041C0700XClinical Social Worker2273LA
21041S0200XSchool Social Worker2273LA

General Provider Information

NPI Number : 1295560738
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDNA THOMPSON METCALF LCSW-BACS
Provider Business Mailing Address
First Line : 2611 ETON ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-3839
Country : US
Telephone Number : 504-444-1156
Fax Number :
Provider Business Practice Location Address
First Line : 2401 WESTBEND PKWY STE 4040
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70114-2474
Country : US
Telephone Number : 504-227-3057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2024
Last Update Date : 09/04/2024

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Directions to “ EDNA THOMPSON METCALF LCSW-BACS” Practice Location

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