Provider Demographics
NPI:1083823702
Name:MORAIS, NANCY NELKIN (MSW LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:NELKIN
Last Name:MORAIS
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 DANTE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-1014
Mailing Address - Country:US
Mailing Address - Phone:504-865-7943
Mailing Address - Fax:504-865-7943
Practice Address - Street 1:744 DANTE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-1014
Practice Address - Country:US
Practice Address - Phone:504-865-7943
Practice Address - Fax:504-865-7943
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1986104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker