Individual provider Active NPI

Sheena L Stakes, LCSW, MSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1285308064
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14538 Issued in LA
Practice address
1100 Robley Dr Apt 11103
Lafayette, LA 70503-5538
Phone
(318) 664-1431
Fax
(337) 345-8016
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14538 LA Primary

Addresses

Primary practice location

1100 Robley Dr Apt 11103
Lafayette, LA 70503-5538

Mailing address

1100 Robley Dr Apt 11103
Lafayette, LA 70503-5538
Phone (318) 664-1431

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14538LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stakes Therapy Services, LLC Clinical CurrentSince Feb 13, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1285308064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROBLEY DR APT 11103",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035538",
            "telephone_number": "318-664-1431",
            "fax_number": "337-345-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROBLEY DR APT 11103",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035538",
            "telephone_number": "318-664-1431",
            "fax_number": "337-345-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKES",
        "first_name": "SHEENA",
        "middle_name": "L",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.