Provider Demographics
NPI:1225552110
Name:PLESKA, CORRINE ASHLEE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CORRINE
Middle Name:ASHLEE
Last Name:PLESKA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2566 N ROCHEBLAVE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-7955
Mailing Address - Country:US
Mailing Address - Phone:504-475-0438
Mailing Address - Fax:
Practice Address - Street 1:2566 N ROCHEBLAVE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-7955
Practice Address - Country:US
Practice Address - Phone:504-475-0438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1085581041C0700X
LA166621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0423793Medicaid