| Karen G Selenberg Lcsw Llc | |
|
2420 Athania Pkwy Ste 102 Metairie LA 70001-1975 | |
| (504) 833-6303 | |
| (504) 837-9857 |
| Full Name | Karen G Selenberg Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2420 Athania Pkwy, Metairie, Louisiana |
| Authorized Official Name and Position | Karen G Selenberg (OWNER) |
| Authorized Official Contact | 5043885110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen G Selenberg Lcsw Llc 146 Avant Garde Cir Kenner LA 70065-6273 Ph: (504) 388-5110 | Karen G Selenberg Lcsw Llc 2420 Athania Pkwy Ste 102 Metairie LA 70001-1975 Ph: (504) 833-6303 |
| NPI Number | 1720512825 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Medicare PECOS PAC ID | 6901182146 |
|---|---|
| Medicare Enrollment ID | O20170424001683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720512825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 910 (Louisiana) | Primary |
| Provider Name | Karen G Selenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184719817 PECOS PAC ID: 4284737370 Enrollment ID: I20070309000365 |
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