Provider Demographics
NPI:1457845406
Name:LOU IRWIN LCSW LLC
Entity Type:Organization
Organization Name:LOU IRWIN LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER--SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:CLINT
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:504-837-7474
Mailing Address - Street 1:PO BOX 56266
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70055-6266
Mailing Address - Country:US
Mailing Address - Phone:504-837-7474
Mailing Address - Fax:504-828-8814
Practice Address - Street 1:804 N CAUSEWAY BLVD STE B
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5364
Practice Address - Country:US
Practice Address - Phone:504-837-7474
Practice Address - Fax:504-828-8814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1593261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1593OtherLICENSED CLINICAL SOCIAL WORKER