Provider Demographics
NPI:1720359276
Name:WARE, SHAWNELL (ED D, LCSW-BACS)
Entity Type:Individual
Prefix:DR
First Name:SHAWNELL
Middle Name:
Last Name:WARE
Suffix:
Gender:F
Credentials:ED D, LCSW-BACS
Other - Prefix:MRS
Other - First Name:SHAWNEL
Other - Middle Name:
Other - Last Name:WARE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ED D, LCSW-BACS
Mailing Address - Street 1:5132 WARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-3308
Mailing Address - Country:US
Mailing Address - Phone:504-818-4550
Mailing Address - Fax:504-302-2828
Practice Address - Street 1:5132 WARRINGTON DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-3308
Practice Address - Country:US
Practice Address - Phone:504-818-6450
Practice Address - Fax:504-302-2828
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-14
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA44931041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool