Individual provider Active NPI

Mary Elizabeth Wilkes Chand, LCSW-BACS

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1508259748
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11521 Issued in LA
Practice address
2909 Division St Ste C
Metairie, LA 70002-7039
Phone
(504) 355-1729
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 11521 LA Primary

Addresses

Primary practice location

2909 Division St Ste C
Metairie, LA 70002-7039

Mailing address

2909 Division St Ste C
Metairie, LA 70002-7039
Phone (504) 355-1729

Other names 1

  • Mary Elizabeth Wilkes Former name

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

LicenseStateTypeSpecialty
11521LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1508259748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 DIVISION ST STE C",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027039",
            "telephone_number": "504-355-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 DIVISION ST STE C",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027039",
            "telephone_number": "504-355-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES CHAND",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LCSW-BACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WILKES",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.