Stephanie M Anderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12723 Issued in LA

Practice address

2601 N Hullen St Ste 134
Metairie, LA 70002-5940

Phone

(337) 370-2763

NPI assigned

Oct 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1427699461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N HULLEN ST STE 134",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025940",
            "telephone_number": "337-370-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N HULLEN ST STE 134",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025940",
            "telephone_number": "337-370-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "007787835",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Metairie",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2601 N Hullen St Ste 134",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700025940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latifa Kwayis Anderson
• Myra Jenea Anderson
• Olivia Rose Anderson
• Rachael Anderson
• Richard Anderson Jr., PHARMD
• Tennille Anderson
• Warren Jeffrey Anderson, CRNA
• Hannah Grace Anding
• Jack A Andonie, MD
• Andre G. Guette, M.D., LLC

• Clinical Social Worker in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.