Provider Demographics
NPI:1316513997
Name:GENSLER, PATRICK WHELAN (LCSW)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:WHELAN
Last Name:GENSLER
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 1:4200 ESSEN LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2158
Mailing Address - Country:US
Mailing Address - Phone:225-765-1456
Mailing Address - Fax:
Practice Address - Street 1:4200 ESSEN LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2158
Practice Address - Country:US
Practice Address - Phone:225-765-1456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA114061041C0700X
MSC97031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical