Provider Demographics
NPI:1265614036
Name:HAYES, DEIDRE DENISE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DEIDRE
Middle Name:DENISE
Last Name:HAYES
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 1:1050 S JEFFERSON DAVIS PKWY
Mailing Address - Street 2:234
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-1200
Mailing Address - Country:US
Mailing Address - Phone:504-304-2290
Mailing Address - Fax:504-304-2291
Practice Address - Street 1:1050 S JEFFERSON DAVIS PKWY
Practice Address - Street 2:234
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-1200
Practice Address - Country:US
Practice Address - Phone:504-304-2290
Practice Address - Fax:504-304-2291
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA33221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical