Provider Demographics
NPI:1295141067
Name:SIGNORELLI, ANNA MARIA (LCSW)
Entity type:Individual
Prefix:
First Name:ANNA MARIA
Middle Name:
Last Name:SIGNORELLI
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 1:4833 CONTI ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-4353
Mailing Address - Country:US
Mailing Address - Phone:504-813-9544
Mailing Address - Fax:
Practice Address - Street 1:4833 CONTI ST
Practice Address - Street 2:SUITE 211
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-4353
Practice Address - Country:US
Practice Address - Phone:504-813-9544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA74841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical