Individual provider Active NPI

Kasandra Harper-Sanders, LCSW

  • Social Worker
  • Mandeville, LA
National Provider Identifier
1750812541
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14782 Issued in LA
Practice address
23515 Highway 190
Mandeville, LA 70448-7334
Phone
(985) 624-4100
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14782 LA Primary

Addresses

Primary practice location

23515 Highway 190
Mandeville, LA 70448-7334

Mailing address

3425 Edenborn Ave Apt 152
Metairie, LA 70002-3379
Phone (917) 915-0380

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
I20250130003990 LA Practitioner - Clinical Social Worker 5193002657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14782LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Start Corporation CurrentSince Dec 1, 2024 Accepting new patients
Start Corporation CurrentSince Dec 1, 2024 Accepting new patients
Lifestream Behavioral Center Inc Past Accepting new patients

Locations

420 Magnolia St
Houma, LA 70360
Phone (985) 873-7784

235 Civic Center Blvd
Houma, LA 70360
Phone (985) 333-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1750812541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 EDENBORN AVE APT 152",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023379",
            "telephone_number": "917-915-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 HIGHWAY 190",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487334",
            "telephone_number": "985-624-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER-SANDERS",
        "first_name": "KASANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "14782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.