Provider Demographics
NPI:1144723701
Name:ALPAUGH, GEORGE READE (DSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:READE
Last Name:ALPAUGH
Suffix:
Gender:M
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 FOCIS ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2213
Mailing Address - Country:US
Mailing Address - Phone:504-259-0584
Mailing Address - Fax:
Practice Address - Street 1:14500 HAYNE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-1751
Practice Address - Country:US
Practice Address - Phone:504-210-0460
Practice Address - Fax:504-210-0972
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11493104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker