Roland Mark Fryou, LCSW

Individual provider Active NPI Clinical Social Worker · Arabi, LA

NPI 1740428655 · NPPES record last updated Feb 11, 2010

Key facts

NPI
1740428655
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
3122 (LA)
Practice address
7407A Saint Bernard Hwy
Arabi, LA 70032-1832
Phone
(504) 278-7401
Fax
(504) 278-7475
NPI assigned
Jan 30, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3122LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Human Services District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3122 LA Yes

Addresses

Primary practice location

7407A Saint Bernard Hwy
Arabi, LA 70032-1832

Mailing address

7407A Saint Bernard Hwy
Arabi, LA 70032-1832
Phone (504) 278-7401

Other providers in Arabi, LA

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

Sources for this page

Verify at the official NPI Registry.