Provider Demographics
NPI:1609240225
Name:NEVERS, CAROL FRANCES (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:FRANCES
Last Name:NEVERS
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 1:14172 HIGHWAY 1075
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-7780
Mailing Address - Country:US
Mailing Address - Phone:985-750-5561
Mailing Address - Fax:
Practice Address - Street 1:14172 HIGHWAY 1075
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-7780
Practice Address - Country:US
Practice Address - Phone:985-750-5561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-19
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA42091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical