Provider Demographics
NPI:1891151460
Name:METZNER, SIMON (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SIMON
Middle Name:
Last Name:METZNER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 S JEFFERSON DAVIS PKWY
Mailing Address - Street 2:SUITE 212
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-1200
Mailing Address - Country:US
Mailing Address - Phone:504-821-7233
Mailing Address - Fax:504-304-2275
Practice Address - Street 1:1050 S JEFFERSON DAVIS PKWY
Practice Address - Street 2:SUITE 212
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-1200
Practice Address - Country:US
Practice Address - Phone:504-821-7233
Practice Address - Fax:504-304-2275
Is Sole Proprietor?:No
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA112221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical