Provider Demographics
NPI:1477740207
Name:ROCHEL, JENNIFER MARIE (LCSW, LICSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE
Last Name:ROCHEL
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6133 BAYOU BLACK DR
Mailing Address - Street 2:
Mailing Address - City:GIBSON
Mailing Address - State:LA
Mailing Address - Zip Code:70356-3511
Mailing Address - Country:US
Mailing Address - Phone:504-908-4853
Mailing Address - Fax:
Practice Address - Street 1:3500 N CAUSEWAY BLVD STE 160
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3592
Practice Address - Country:US
Practice Address - Phone:150-490-8485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA112501041C0700X
DCLC2000017041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty