Individual
MS. SUSAN L JOSEPHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5001 HIGHWAY 190 EAST SERVICE RD, STE C4, COVINGTON, LA 70433-4949
(985) 773-8882
Mailing address
4824 RYE ST, METAIRIE, LA 70006-5206
(985) 773-8882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1438
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21260
BCBS
LA
Enumeration date
10/02/2006
Last updated
03/05/2019
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