Provider Demographics
NPI:1992260194
Name:JACKSON, NETTHANY SCHEXNAYDER (MSW)
Entity type:Individual
Prefix:MRS
First Name:NETTHANY
Middle Name:SCHEXNAYDER
Last Name:JACKSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:NETTHANY
Other - Middle Name:MELDA
Other - Last Name:SCHEXNAYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:914 ROWLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ARABI
Mailing Address - State:LA
Mailing Address - Zip Code:70032-2007
Mailing Address - Country:US
Mailing Address - Phone:504-931-2006
Mailing Address - Fax:
Practice Address - Street 1:2740 IBERVILLE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5516
Practice Address - Country:US
Practice Address - Phone:504-821-8184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator