Joann Marie Matherne
Individual provider Active NPI Professional Counselor · Lockport, LA
NPI 1366959504 · NPPES record last updated Jan 9, 2018
Key facts
- NPI
- 1366959504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5576 (LA)
- Practice address
- 8620 Highway 1
Lockport, LA 70374-4202 - Phone
- (985) 696-2060
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5576 | LA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5576 | LA | Yes |
Addresses
Primary practice location
8620 Highway 1
Lockport, LA 70374-4202
Mailing address
8620 Highway 1
Lockport, LA 70374-4202
Phone (985) 696-2060
Other providers in Lockport, LA
- Janie Dufrene Hebert
- Michelle Elaine Johnson Orgeron
- Leslie Juban
- Alan Paul Karcher Jr.
- Lighthouse Hospice, LLC
- Bobbie Nell Morris
- Ochsner Clinic LLC
- Ochsner Clinic LLC
- April P Pierce
- Gabrielle Steib Prejean
All providers in Lockport, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.