Provider Demographics
NPI:1922363548
Name:KRISTEL R. SCARCELLO, LCSW, LLC
Entity Type:Organization
Organization Name:KRISTEL R. SCARCELLO, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LAC
Authorized Official - Phone:225-571-5996
Mailing Address - Street 1:2026 VOLPE DR
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-5537
Mailing Address - Country:US
Mailing Address - Phone:225-571-5996
Mailing Address - Fax:504-486-0023
Practice Address - Street 1:2026 VOLPE DR
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-5537
Practice Address - Country:US
Practice Address - Phone:225-571-5996
Practice Address - Fax:504-486-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA93671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty