Provider Demographics
NPI:1265845481
Name:MAGEE, TARSHA (LCSW)
Entity Type:Individual
Prefix:
First Name:TARSHA
Middle Name:
Last Name:MAGEE
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 1:1609 GENTILLY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2109
Mailing Address - Country:US
Mailing Address - Phone:504-450-7269
Mailing Address - Fax:
Practice Address - Street 1:2832 ROYAL ST STE B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-7360
Practice Address - Country:US
Practice Address - Phone:504-308-3501
Practice Address - Fax:504-308-3520
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA58121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1265845481Medicaid