Provider Demographics
NPI:1083767206
Name:WEBSTER, LOU ANN (LMSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LOU ANN
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5212 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35212-3906
Mailing Address - Country:US
Mailing Address - Phone:205-306-6332
Mailing Address - Fax:
Practice Address - Street 1:908 20TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-6875
Practice Address - Country:US
Practice Address - Phone:205-975-2627
Practice Address - Fax:205-934-8490
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2118C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM53139810Medicaid