Maryann Nicole Dykes, CSW
Individual provider Active NPI School Social Worker · Harahan, LA
NPI 1073169231 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1073169231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- Practice address
- 822 S Clearview Pkwy
Harahan, LA 70123-3401 - Phone
- (504) 483-9883
- NPI assigned
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14864 | LA | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 14864 | LA | |
| School Social Worker | 1041S0200X | LA | Yes |
Addresses
Primary practice location
822 S Clearview Pkwy
Harahan, LA 70123-3401
Mailing address
822 S Clearview Pkwy
Harahan, LA 70123-3401
Phone (504) 349-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701033 | Medicaid | LA |
Other providers in Harahan, LA
- Monique Loyacano Dematteo
- Discover Wellness & Rehab of Elmwood, LLC
- Melinda Mong-Thuy Doan
- Dr Archibald L Melcher IV LLC
- Derek Dupuis
- Chris Dysart
- Eckerd Youth Alternatives, Inc. Dba Eckerd Connects
- Ehs Corp.
- Charles Elliott
- Elmwood Behavioral Health LLC
All providers in Harahan, LA · School Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.