Laryn B Abshire, LCSW-BACS
Individual provider Active NPI Clinical Social Worker · Lake Charles, LA
NPI 1821564014 · NPPES record last updated Jul 2, 2021
Key facts
- NPI
- 1821564014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 12010 (LA)
- Practice address
- 3601 Gerstner Memorial Blvd
Lake Charles, LA 70607-3231 - Phone
- (337) 475-9600
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 12010 | LA | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12010 | LA | Yes |
| School Social Worker | 1041S0200X | 12010 | LA |
Addresses
Primary practice location
3601 Gerstner Memorial Blvd
Lake Charles, LA 70607-3231
Mailing address
3601 Gerstner Memorial Blvd
Lake Charles, LA 70607-3231
Phone (337) 475-9600
Other providers in Lake Charles, LA
- Fredrick Douglas Abraham II
- Latasha Monique Abraham
- Shantele Abraham
- Cody Michael Abshire
- Jude Paul Abshire
- Absolute Medical Supply
- Absolute Medical Supply LLC
- Abdel Farid Abu Shamat
- Acadian Holistic Services LLC
- Acadian Home Health Care Services, LLC
All providers in Lake Charles, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2021. 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.