Individual
KIMBERLY W CHISESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1911 PORT ST, NEW ORLEANS, LA 70117-7015
(504) 930-1225
(985) 231-1377
Mailing address
1911 PORT ST, NEW ORLEANS, LA 70117-7015
(504) 930-1225
(985) 231-1377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15237
LA
1041C0700X
Clinical Social Worker
15237
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3379201
—
LA
Enumeration date
07/13/2016
Last updated
04/18/2022
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