Provider Demographics
NPI:1356475057
Name:CARR, JOSEPH T (LCSW, LMFT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:T
Last Name:CARR
Suffix:
Gender:M
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 HOMESTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-1617
Mailing Address - Country:US
Mailing Address - Phone:504-831-1671
Mailing Address - Fax:504-831-1671
Practice Address - Street 1:517 N CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5339
Practice Address - Country:US
Practice Address - Phone:504-831-1671
Practice Address - Fax:504-831-1671
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA939 BACS1041C0700X
LA973106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5S119Medicare PIN