Kelly McIntosh, LCSW
Social Worker, Clinical in New Orleans, LA. Individual provider (NPI-1).
NPI number1982257192
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1982257192
- Entity type
- Individual (NPI-1)
- Name
- Kelly McIntosh
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2019
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12869 | LA | Yes |
Practice location
1228 Annunciation StNew Orleans, LA 70130-4004
Phone 504-233-9229
Mailing address
1228 Annunciation StNew Orleans, LA 70130-4004
Phone 504-233-9229
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