Provider Demographics
NPI:1528028024
Name:GERBER, DEENA Y (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEENA
Middle Name:Y
Last Name:GERBER
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 1:3330 W ESPLANADE AVE S
Mailing Address - Street 2:STE 600
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3454
Mailing Address - Country:US
Mailing Address - Phone:504-831-8475
Mailing Address - Fax:504-831-1130
Practice Address - Street 1:3330 W ESPLANADE AVE S
Practice Address - Street 2:STE 600
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3454
Practice Address - Country:US
Practice Address - Phone:504-831-8475
Practice Address - Fax:504-831-1130
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5S360Medicare ID - Type UnspecifiedMEDICARE PROVIDER