Provider Demographics
NPI:1417187766
Name:MCGAVRAN, MARIAN MCFARLAND (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:MCFARLAND
Last Name:MCGAVRAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 HAMPSON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5034
Mailing Address - Country:US
Mailing Address - Phone:504-259-6162
Mailing Address - Fax:504-734-9896
Practice Address - Street 1:1539 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5858
Practice Address - Country:US
Practice Address - Phone:504-734-1740
Practice Address - Fax:504-734-9896
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA82431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical