Provider Demographics
NPI:1720885288
Name:KONEN, JAMES CHARLES III (LMSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CHARLES
Last Name:KONEN
Suffix:III
Gender:
Credentials:LMSW
Other - Prefix:MR
Other - First Name:OZONE
Other - Middle Name:JC
Other - Last Name:KONEN
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:9 CHESAPEAKE PLZ
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-1003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 GATEWAY DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5589
Practice Address - Country:US
Practice Address - Phone:985-368-5311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA19109104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker