Provider Demographics
NPI:1821305152
Name:HLADKY, CARRIE CARLSON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:CARLSON
Last Name:HLADKY
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 1:1519 ARISTOCRAT COURT
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433
Mailing Address - Country:US
Mailing Address - Phone:985-373-3568
Mailing Address - Fax:985-662-5165
Practice Address - Street 1:100 INWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-373-3568
Practice Address - Fax:985-662-5165
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA42601041C0700X
LALCSW:42601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical