Carolyn Degelos Wanek, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW # 8067 Issued in LA

Practice address

701 Metairie Rd Ste 2A203
Metairie, LA 70005-4061

Phone

(504) 669-7579

Fax

(504) 454-6180

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396860698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WAVERLY PL",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700032554",
            "telephone_number": "504-669-7579",
            "fax_number": "504-454-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 METAIRIE RD STE 2A203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054061",
            "telephone_number": "504-669-7579",
            "fax_number": "504-454-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANEK",
        "first_name": "CAROLYN",
        "middle_name": "DEGELOS",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "LCSW # 8067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Lobell Walters, DDS
• Monet Walters, MSED
• Jacquelyn Ann Walther, MA, CI, NCC
• Paige Walther
• Kamryn Semaj Walton
• Alexandria Wang
• Andrew B Wang, MD
• Manqi Wang, DDS, PHD
• Warby Parker Inc.
• Alexis Ward

• Clinical Social Worker in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.