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NPI Code Detail

MEDICARE: PAIGE UTTERBACK

MEDICARE: PAIGE UTTERBACK
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 Worker16316LA

General Provider Information

NPI Number : 1811581192
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE UTTERBACK
Provider Business Mailing Address
First Line : 1631 ELYSIAN FIELDS AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-8208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1631 ELYSIAN FIELDS
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-7011
Country : US
Telephone Number : 504-821-2601
Fax Number : 888-736-9806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2021
Last Update Date : 03/13/2025

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Directions to “ PAIGE UTTERBACK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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