Provider Demographics
NPI:1750432936
Name:ARETSKY, MIRIAM (LCSW)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:ARETSKY
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 1:8017 JEFFERSON HWY
Mailing Address - Street 2:STE B4
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1681
Mailing Address - Country:US
Mailing Address - Phone:225-932-0052
Mailing Address - Fax:225-932-2353
Practice Address - Street 1:8017 JEFFERSON HWY
Practice Address - Street 2:SUITE B-4
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1681
Practice Address - Country:US
Practice Address - Phone:225-932-0052
Practice Address - Fax:225-932-2353
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA26921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical