Provider Demographics
NPI:1154531606
Name:GAGNET, ALEX (LCSW)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:GAGNET
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3027
Mailing Address - Country:US
Mailing Address - Phone:504-888-8600
Mailing Address - Fax:504-832-7947
Practice Address - Street 1:110 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 202A
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3027
Practice Address - Country:US
Practice Address - Phone:504-888-8600
Practice Address - Fax:504-832-7947
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA51911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical