Provider Demographics
NPI:1992195929
Name:ENTRUP, ERIKA (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ENTRUP
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 1:2626 CANAL ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6410
Mailing Address - Country:US
Mailing Address - Phone:504-525-2633
Mailing Address - Fax:504-525-7525
Practice Address - Street 1:2626 CANAL ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6410
Practice Address - Country:US
Practice Address - Phone:504-525-2633
Practice Address - Fax:504-525-7525
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA109811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical