Provider Demographics
NPI:1003410481
Name:NEEL, JANE S (LCSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:S
Last Name:NEEL
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 1:1009 LIVE OAK LOOP
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-6380
Mailing Address - Country:US
Mailing Address - Phone:985-778-3472
Mailing Address - Fax:
Practice Address - Street 1:1009 LIVE OAK LOOP
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-6380
Practice Address - Country:US
Practice Address - Phone:985-778-3472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA120591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical