Provider Demographics
NPI:1912565912
Name:CAGE, ATEISHA (LCSW)
Entity type:Individual
Prefix:
First Name:ATEISHA
Middle Name:
Last Name:CAGE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14150 GRAND SETTLEMENT BLVD APT 2307
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70818-4333
Mailing Address - Country:US
Mailing Address - Phone:225-366-8104
Mailing Address - Fax:
Practice Address - Street 1:14150 GRAND SETTLEMENT BLVD APT 2307
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70818-4333
Practice Address - Country:US
Practice Address - Phone:225-366-8104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2025-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA154191041C0700X
TX1149531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical