Provider Demographics
NPI:1649570912
Name:JARREAU-GRIFFIN, CHAKAKHAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHAKAKHAN
Middle Name:
Last Name:JARREAU-GRIFFIN
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 1:2714 CANAL ST STE 305
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5570
Mailing Address - Country:US
Mailing Address - Phone:504-373-4467
Mailing Address - Fax:
Practice Address - Street 1:2714 CANAL ST STE 305
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5570
Practice Address - Country:US
Practice Address - Phone:504-373-4467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA102681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical