Provider Demographics
NPI:1245760651
Name:ROSSIGNOL, CATHERINE KANWIT (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:KANWIT
Last Name:ROSSIGNOL
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 1:832 S CLEARVIEW PKWY APT 233
Mailing Address - Street 2:
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-3420
Mailing Address - Country:US
Mailing Address - Phone:504-615-9510
Mailing Address - Fax:
Practice Address - Street 1:832 S CLEARVIEW PKWY APT 233
Practice Address - Street 2:
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-3420
Practice Address - Country:US
Practice Address - Phone:504-615-9510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8681104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker