Provider Demographics
NPI:1629215165
Name:COONEY, ELIZABETH A (MSW,LCSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:COONEY
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:COONEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW,LCSW
Mailing Address - Street 1:315 METAIRIE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-4300
Mailing Address - Country:US
Mailing Address - Phone:504-250-1535
Mailing Address - Fax:
Practice Address - Street 1:315 METAIRIE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4300
Practice Address - Country:US
Practice Address - Phone:504-250-1535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA77021041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool