Provider Demographics
NPI:1558805481
Name:CLOUATRE, ASHLIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ASHLIE
Middle Name:
Last Name:CLOUATRE
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 1:48 VERDE ST
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1029
Mailing Address - Country:US
Mailing Address - Phone:604-782-9242
Mailing Address - Fax:
Practice Address - Street 1:433 METAIRIE RD STE 315
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4326
Practice Address - Country:US
Practice Address - Phone:504-782-9242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA46221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical