Provider Demographics
NPI:1598503393
Name:MCNETT, ABBIE LEE (LMSW)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:LEE
Last Name:MCNETT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:GLENMORA
Mailing Address - State:LA
Mailing Address - Zip Code:71433-4112
Mailing Address - Country:US
Mailing Address - Phone:318-880-7372
Mailing Address - Fax:
Practice Address - Street 1:5411 COLISEUM BLVD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3729
Practice Address - Country:US
Practice Address - Phone:318-484-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
LA17196104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator