Provider Demographics
NPI:1497915573
Name:OXENRIDER, BRIANNE U (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNE
Middle Name:U
Last Name:OXENRIDER
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 1:2813 BELMONT PL
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-6907
Mailing Address - Country:US
Mailing Address - Phone:504-264-3273
Mailing Address - Fax:504-456-3505
Practice Address - Street 1:601 N CARROLLTON AVE
Practice Address - Street 2:SUITE D
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-4700
Practice Address - Country:US
Practice Address - Phone:504-264-3273
Practice Address - Fax:504-456-3505
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA100421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1157350Medicaid
LA3A699Medicare PIN
LA1157350Medicaid