Provider Demographics
NPI:1598066326
Name:RIDGLEY, RENEE T (MSW)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:T
Last Name:RIDGLEY
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 1:801 RACE ST
Mailing Address - Street 2:7207
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-8618
Mailing Address - Country:US
Mailing Address - Phone:214-450-4582
Mailing Address - Fax:
Practice Address - Street 1:801 RACE ST
Practice Address - Street 2:7207
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-8618
Practice Address - Country:US
Practice Address - Phone:214-450-4582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker