Provider Demographics
NPI:1023470861
Name:CARTER, DE'JON J (MSW, CSW)
Entity type:Individual
Prefix:
First Name:DE'JON
Middle Name:J
Last Name:CARTER
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 POYDRAS ST STE OFFICE
Mailing Address - Street 2:STE. 1400 OFFICE 47
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-6101
Mailing Address - Country:US
Mailing Address - Phone:504-222-0253
Mailing Address - Fax:
Practice Address - Street 1:650 POYDRAS ST STE OFFICE
Practice Address - Street 2:STE. 1400 OFFICE 47
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-6101
Practice Address - Country:US
Practice Address - Phone:504-222-0253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13659104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker