Active NPI
Sarah B Moran, LCSW, LMFT
- Clinical Social Worker
- Mandeville, LA
National Provider Identifier
1003896085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5554
- Practice address
- 1011 N Causeway Blvd
#32
Mandeville, LA 70471-3243 - Phone
- (985) 626-8100
- Fax
- (985) 626-5900
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5554 | LA | Primary |
Addresses
Primary practice location
1011 N Causeway Blvd
#32
Mandeville, LA 70471-3243
Mailing address
1011 N Causeway Blvd
#32
Mandeville, LA 70471-3243
Phone (985) 626-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5554 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1003896085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 N CAUSEWAY BLVD",
"address_2": "#32",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713243",
"telephone_number": "985-626-8100",
"fax_number": "985-626-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N CAUSEWAY BLVD",
"address_2": "#32",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713243",
"telephone_number": "985-626-8100",
"fax_number": "985-626-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "SARAH",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "5554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.