Individual provider · NPI-1

Dianne Bergens, LCSW-BACS

Social Worker, School · Harvey, LA

NPI number1982485231
StatusActive
Last updated in NPPESOct 12, 2023

Details

NPI
1982485231
Entity type
Individual (NPI-1)
Name
Dianne Bergens
Credential
LCSW-BACS
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 12, 2023
Certification date
Oct 12, 2023
Last updated
Oct 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041S0200X Social Worker, School4272LAYes

Practice location

501 Manhattan Blvd
Harvey, LA 70058-4443

Phone 504-401-7212

Mailing address

501 Manhattan Blvd
Harvey, LA 70058-4443

Phone 504-401-7212

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