Provider Demographics
NPI:1518094366
Name:KERN, ANN ELIZABETH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:ELIZABETH
Last Name:KERN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 S POST OAK RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663-5200
Mailing Address - Country:US
Mailing Address - Phone:337-625-7068
Mailing Address - Fax:337-625-7069
Practice Address - Street 1:1215 S POST OAK RD
Practice Address - Street 2:SUITE 9
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-5200
Practice Address - Country:US
Practice Address - Phone:337-625-7068
Practice Address - Fax:337-625-7069
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA21081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical