Provider Demographics
NPI:1225009129
Name:PICKENS-SENTINO, PATRICE (LCSW-BACS)
Entity Type:Individual
Prefix:MRS
First Name:PATRICE
Middle Name:
Last Name:PICKENS-SENTINO
Suffix:
Gender:F
Credentials:LCSW-BACS
Other - Prefix:
Other - First Name:PATRICE
Other - Middle Name:
Other - Last Name:PICKENS-SENTINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW-BACS
Mailing Address - Street 1:5630 CROWDER BLVD.
Mailing Address - Street 2:STE. 208
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127
Mailing Address - Country:US
Mailing Address - Phone:504-439-4823
Mailing Address - Fax:504-241-6007
Practice Address - Street 1:5630 CROWDER BLVD.
Practice Address - Street 2:STE. 208
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127
Practice Address - Country:US
Practice Address - Phone:504-439-4823
Practice Address - Fax:504-241-6007
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6148101YA0400X, 101YM0800X, 1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist