Juan Barthelemy, PH.D., LCSW

Individual provider Active NPI Clinical Social Worker · Baton Rouge, LA

NPI 1295902765 · NPPES record last updated May 13, 2008

Key facts

NPI
1295902765
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
8709 (LA)
Practice address
754 E Versailles Dr
Baton Rouge, LA 70819-3343
Phone
(225) 226-1594
Fax
(225) 273-7539
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8709LAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8709 LA Yes

Addresses

Primary practice location

754 E Versailles Dr
Baton Rouge, LA 70819-3343

Mailing address

754 E Versailles Dr
Baton Rouge, LA 70819-3343
Phone (225) 226-1594

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.