Individual provider Active NPI

Amy Leona Sandridge, LCSW, PHD

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1215412598
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4228 Houma Blvd Ste 200
Metairie, LA 70006-3004
Phone
(504) 454-7878
Fax
(504) 883-3775
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4228 Houma Blvd Ste 200
Metairie, LA 70006-3004

Mailing address

2626 Charles Dr
Chalmette, LA 70043-3779
Phone (504) 278-4006

Other practice location 1

4404 Burke Dr
Metairie, LA 70003-2812
Phone (504) 259-1898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126001301 LA Practitioner - Clinical Social Worker 7113319047 Reassigns benefits to 1 organization
Practice locations: Metairie, LA; New Orleans, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4228 Houma Blvd
Suite 200
Metairie, LA 70006-3004
Phone (504) 454-7878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sandridge Therapy & Consulting, LLC CurrentSince Aug 28, 2022 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Nov 27, 2023 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients

Locations

4228 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 454-7878

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1215412598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 CHARLES DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700433779",
            "telephone_number": "504-278-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063004",
            "telephone_number": "504-454-7878",
            "fax_number": "504-883-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4404 Burke Dr",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700032812",
            "country_code": "US",
            "telephone_number": "504-259-1898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDRIDGE",
        "first_name": "AMY",
        "middle_name": "LEONA",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.