Provider Demographics
NPI:1376821603
Name:DILLON, SHONELL LENISHA (LCSW)
Entity Type:Individual
Prefix:
First Name:SHONELL
Middle Name:LENISHA
Last Name:DILLON
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 1:1411 S WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-6223
Mailing Address - Country:US
Mailing Address - Phone:504-333-2206
Mailing Address - Fax:504-389-6219
Practice Address - Street 1:7809 AIRLINE DR STE 200A
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-6440
Practice Address - Country:US
Practice Address - Phone:504-333-2206
Practice Address - Fax:504-389-6219
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8950104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker