Provider Demographics
NPI:1497084768
Name:BALDWIN, GEOFFREY SJ (LCSW)
Entity type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:SJ
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3412
Mailing Address - Country:US
Mailing Address - Phone:504-895-3797
Mailing Address - Fax:877-902-5562
Practice Address - Street 1:7577 WESTBANK EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3412
Practice Address - Country:US
Practice Address - Phone:504-259-3593
Practice Address - Fax:877-902-5562
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA48221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical