Provider Demographics
NPI:1316053911
Name:NELSON, LINDA KERN (MSW, LCSW, BCD)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:KERN
Last Name:NELSON
Suffix:
Gender:F
Credentials:MSW, LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8814 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 3 #103
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-5264
Mailing Address - Country:US
Mailing Address - Phone:504-458-6118
Mailing Address - Fax:504-270-1879
Practice Address - Street 1:8724 CHALDRON ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-5218
Practice Address - Country:US
Practice Address - Phone:504-458-6118
Practice Address - Fax:504-270-1879
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA39561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1041C0700XOtherTAXONOMY CODE