Provider Demographics
NPI:1407879125
Name:CHRISTIAN, LORI CASSAGNE (LCSW)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:CASSAGNE
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:LYNN
Other - Last Name:CASSAGNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:421 AIRLINE HIGHWAY
Mailing Address - Street 2:SUITE L
Mailing Address - City:LAPLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068
Mailing Address - Country:US
Mailing Address - Phone:985-651-7064
Mailing Address - Fax:985-651-7067
Practice Address - Street 1:421 AIRLINE HIGHWAY
Practice Address - Street 2:SUITE L
Practice Address - City:LAPLACE
Practice Address - State:LA
Practice Address - Zip Code:70068
Practice Address - Country:US
Practice Address - Phone:985-651-7064
Practice Address - Fax:985-651-7067
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA76921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical