Provider Demographics
NPI:1215287560
Name:MCCAULEY, AVERIE (LSCW)
Entity type:Individual
Prefix:
First Name:AVERIE
Middle Name:
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:LSCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7425 PITT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3618
Mailing Address - Country:US
Mailing Address - Phone:337-831-0938
Mailing Address - Fax:504-302-9186
Practice Address - Street 1:2601 N HULLEN ST
Practice Address - Street 2:STE. 237
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5900
Practice Address - Country:US
Practice Address - Phone:337-831-0938
Practice Address - Fax:504-302-9186
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA98291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical