Individual
ADRIANA GABRIELLE ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2123 SHED RD STE 11, BOSSIER CITY, LA 71111-3617
(318) 726-2063
(318) 333-1647
Mailing address
2123 SHED RD STE 11, BOSSIER CITY, LA 71111-3617
(318) 726-2063
(318) 333-1647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14901
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
14901
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080950
—
LA
Enumeration date
08/03/2023
Last updated
05/13/2026
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