| Miss Dana Ashley Carbo, LCSW | |
|
6516 E Myrtle Ave, Baker, LA 70714-4348 | |
| (225) 765-5500 | |
| (225) 774-5432 |
| Full Name | Miss Dana Ashley Carbo |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 6516 E Myrtle Ave, Baker, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548971187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13634 (Louisiana) | Secondary |
| 104100000X | Social Worker | 13634 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 632 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Dana Ashley Carbo, LCSW 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 774-5432 | Miss Dana Ashley Carbo, LCSW 6516 E Myrtle Ave, Baker, LA 70714-4348 Ph: (225) 765-5500 |
Mr. Michael Dan Gaines, MSW, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2944 Ray Weiland Dr, Baker, LA 70714 Phone: 225-636-2638 Fax: 225-778-5068 | |
Ms. Daronda Marie Parker-lathan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4507 Fausse Dr, Baker, LA 70714 Phone: 225-281-0968 Fax: 225-771-1616 | |
Mrs. Monique Hall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4513 Greenwood Ln, Baker, LA 70714 Phone: 225-305-5647 | |
Melanie Thierry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4425 Groom Rd, Baker, LA 70714 Phone: 225-757-5699 Fax: 225-757-5845 |