Provider Demographics
NPI:1013462555
Name:DOUCET, CEDRICK (MSW)
Entity Type:Individual
Prefix:
First Name:CEDRICK
Middle Name:
Last Name:DOUCET
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-4715
Mailing Address - Country:US
Mailing Address - Phone:504-405-5280
Mailing Address - Fax:504-405-5434
Practice Address - Street 1:2400 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-4715
Practice Address - Country:US
Practice Address - Phone:504-405-5280
Practice Address - Fax:504-405-5434
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health