Basic Information
| Provider Information | |||||||||
| NPI: | 1932518347 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIMPSON | ||||||||
| FirstName: | KEISHA | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DSW, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1301 RIVIERA AVE | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701221935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5044963738 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 WARRINGTON DR | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701223000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5042820089 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2014 | ||||||||
| LastUpdateDate: | 02/04/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 222Q00000X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist | 1041C0700X | 13458 | LA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.