Provider Demographics
NPI:1831399732
Name:FURGASON, LINDA MARIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIE
Last Name:FURGASON
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 1:4424 TRANSCONTINENTAL DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2132
Mailing Address - Country:US
Mailing Address - Phone:504-418-3399
Mailing Address - Fax:
Practice Address - Street 1:4424 TRANSCONTINENTAL DR
Practice Address - Street 2:SUITE E
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2132
Practice Address - Country:US
Practice Address - Phone:504-418-3399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA47031041C0700X
TX302401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88643QOtherBCBS TX
TX198217504Medicaid
TX198217504Medicaid