Provider Demographics
NPI:1750033965
Name:PIERCE, SHONNE MARIE (BSW)
Entity type:Individual
Prefix:
First Name:SHONNE
Middle Name:MARIE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 FARRAGUT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-2810
Mailing Address - Country:US
Mailing Address - Phone:504-942-9792
Mailing Address - Fax:
Practice Address - Street 1:1034 FARRAGUT ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-2810
Practice Address - Country:US
Practice Address - Phone:504-942-9792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator