Provider Demographics
NPI:1790009983
Name:OBENSCHAIN, ANITA LANDRY (LCSW-BACS)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:LANDRY
Last Name:OBENSCHAIN
Suffix:
Gender:F
Credentials:LCSW-BACS
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:ANN
Other - Last Name:LANDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4316 CLEARY AVE.
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3108
Mailing Address - Country:US
Mailing Address - Phone:504-615-7500
Mailing Address - Fax:504-218-7128
Practice Address - Street 1:4316 CLEARY AVE.
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3108
Practice Address - Country:US
Practice Address - Phone:504-615-7500
Practice Address - Fax:504-218-7128
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA61341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical