Sharon Stakelum Matranga, LCSW
Individual provider Active NPI Clinical Social Worker · La Place, LA
NPI 1780189746 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1780189746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 14366 (LA)
- Practice address
- 1809 W Airline Hwy
La Place, LA 70068-3336 - Phone
- (985) 876-8876
- NPI assigned
- Mar 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14366 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Foundation Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14366 | LA | |
| Case Manager/Care Coordinator | 171M00000X | 14366 | LA | |
| Clinical Social Worker | 1041C0700X | 14366 | LA | Yes |
Addresses
Primary practice location
1809 W Airline Hwy
La Place, LA 70068-3336
Mailing address
2018 Delachaise St
New Orleans, LA 70115-5329
Phone (504) 408-6917
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Laplace | Health Information Exchange (HIE) |
Other providers in La Place, LA
- Donna Mashia
- Devin Mason Sr.
- Michele Allen Mason
- Taquana Zeno Mason
- Keynika Trenell Mathieu
- Kent Raymond Mauduit
- Craig W. Maumus
- Leslye McAllister-Young
- Rebekah D'Angelo McAllister
- Whitley McCoy
All providers in La Place, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.