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NPI Code Detail

MEDICARE: ABBIE LEE MCNETT LCSW

MEDICARE: ABBIE LEE MCNETT LCSW
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
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social Worker17196LA

General Provider Information

NPI Number : 1598503393
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBIE LEE MCNETT LCSW
Provider Business Mailing Address
First Line : 913 12TH AVE
Second Line :
City : GLENMORA
State : LA
Zip : 71433-4112
Country : US
Telephone Number : 318-880-7372
Fax Number :
Provider Business Practice Location Address
First Line : 5411 COLISEUM BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3729
Country : US
Telephone Number : 318-484-6850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2024
Last Update Date : 12/01/2025

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