Individual
GERALDINE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1625 DAVID RAINES RD, SHREVEPORT, LA 71107-5899
(318) 425-2252
(318) 227-3357
Mailing address
1625 DAVID RAINES RD, SHREVEPORT, LA 71107-5899
(318) 425-2252
(318) 227-3357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3681
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3681
LIC CLINICAL SOCIAL WORKE
LA
01
—
MFT 852
LICENSED MARRIAGE AND FAM
LA
Enumeration date
07/02/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us