Provider Demographics
NPI:1568528958
Name:DEGREE, CHARLOTTE YVETTE (BSW, RSW)
Entity Type:Individual
Prefix:MISS
First Name:CHARLOTTE
Middle Name:YVETTE
Last Name:DEGREE
Suffix:
Gender:F
Credentials:BSW, RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 W ESPLANADE AVE S
Mailing Address - Street 2:SUITE 213
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-7406
Mailing Address - Country:US
Mailing Address - Phone:504-838-5716
Mailing Address - Fax:504-838-5714
Practice Address - Street 1:2121 RIDGELAKE DR
Practice Address - Street 2:SUITE 206
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2080
Practice Address - Country:US
Practice Address - Phone:504-832-5123
Practice Address - Fax:504-838-5714
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9409171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator