Provider Demographics
NPI:1205104999
Name:KEARNEY, NIQUETTE LACOUR (LCSW)
Entity type:Individual
Prefix:
First Name:NIQUETTE
Middle Name:LACOUR
Last Name:KEARNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:# 8509
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-832-4096
Mailing Address - Fax:504-287-0003
Practice Address - Street 1:2412 ATHANIA PKWY
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1918
Practice Address - Country:US
Practice Address - Phone:504-832-4096
Practice Address - Fax:504-287-0003
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA88551041C0700X
TN46751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical