Provider Demographics
NPI:1629199294
Name:CHAMPAGNE, MEGHAN ELAINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:ELAINE
Last Name:CHAMPAGNE
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 1:2407 BARONNE ST.
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113
Mailing Address - Country:US
Mailing Address - Phone:504-895-6600
Mailing Address - Fax:504-895-6607
Practice Address - Street 1:2407 BARONNE ST.
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113
Practice Address - Country:US
Practice Address - Phone:504-895-6600
Practice Address - Fax:504-895-6607
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker