Provider Demographics
NPI:1558736249
Name:PLEDGER, OCEOLA (MSW)
Entity Type:Individual
Prefix:
First Name:OCEOLA
Middle Name:
Last Name:PLEDGER
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 1:142 LAURA DR
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-2988
Mailing Address - Country:US
Mailing Address - Phone:987-446-4114
Mailing Address - Fax:984-464-2112
Practice Address - Street 1:142 LAURA DR
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-2988
Practice Address - Country:US
Practice Address - Phone:987-446-4114
Practice Address - Fax:984-464-2112
Is Sole Proprietor?:No
Enumeration Date:2015-12-06
Last Update Date:2015-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8978104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker