Provider Demographics
NPI:1992889679
Name:RONIGER, MARJORIE B (LCSW)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:B
Last Name:RONIGER
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 1:1539 JACKSON AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5858
Mailing Address - Country:US
Mailing Address - Phone:504-565-5526
Mailing Address - Fax:504-565-5527
Practice Address - Street 1:1539 JACKSON AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5858
Practice Address - Country:US
Practice Address - Phone:504-565-5526
Practice Address - Fax:504-565-5527
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA40841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical