Provider Demographics
NPI:1891288403
Name:PIERRE LOUIS, JOANNE (LMSW)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:PIERRE LOUIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:OXILUS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:65 AUDREY AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4607
Mailing Address - Country:US
Mailing Address - Phone:516-313-8903
Mailing Address - Fax:
Practice Address - Street 1:65 AUDREY AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4607
Practice Address - Country:US
Practice Address - Phone:516-313-8903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101719104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker