Provider Demographics
NPI:1295560738
Name:METCALF, EDNA THOMPSON (LCSW-BACS)
Entity type:Individual
Prefix:
First Name:EDNA
Middle Name:THOMPSON
Last Name:METCALF
Suffix:
Gender:F
Credentials:LCSW-BACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 ETON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-3839
Mailing Address - Country:US
Mailing Address - Phone:504-444-1156
Mailing Address - Fax:
Practice Address - Street 1:2401 WESTBEND PKWY STE 4040
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-2474
Practice Address - Country:US
Practice Address - Phone:504-227-3057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA22731041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical