Provider Demographics
NPI:1366786576
Name:SCHREEFEL, ALISON DAUZAT (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:DAUZAT
Last Name:SCHREEFEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:DAUZAT
Other - Last Name:NATIONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4833 CONTI STREET
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119
Mailing Address - Country:US
Mailing Address - Phone:504-777-7802
Mailing Address - Fax:504-777-7803
Practice Address - Street 1:3616 S I 10 SERVICE RD W STE 10
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1874
Practice Address - Country:US
Practice Address - Phone:504-838-5257
Practice Address - Fax:504-838-5714
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7617104100000X, 1041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2404521Medicaid
LA12682001OtherCAQH