Joshua A Primeaux, LCSW

Individual provider Active NPI Clinical Social Worker · Jackson, LA

NPI 1669899605 · NPPES record last updated Mar 27, 2014

Key facts

NPI
1669899605
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
9327 (LA)
Practice address
4739 Highway 10
Jackson, LA 70748-3509
Phone
(225) 634-7000
Fax
(225) 634-7001
NPI assigned
Mar 27, 2014
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

State licenses

LicenseStateTypeSpecialty
9327LAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9327 LA Yes

Addresses

Primary practice location

4739 Highway 10
Jackson, LA 70748-3509

Mailing address

4739 Highway 10
Jackson, LA 70748-3509
Phone (225) 634-7000

Other providers in Jackson, LA

All providers in Jackson, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.