Charrlyse Sandifer, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11489 Issued in LA

Practice address

4480 General Degaulle Dr Ste 206
New Orleans, LA 70131-6309

Phone

(504) 905-6945

NPI assigned

Nov 21, 2023

Last updated

Nov 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shared Hearts Mental Health Services

  • Mental Health Counselor
  • New Orleans, LA
  • NPI 1346628781
  NPD (past)

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1790550580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 TULLIS DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318592",
            "telephone_number": "504-391-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 GENERAL DEGAULLE DR STE 206",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701316309",
            "telephone_number": "504-905-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIFER",
        "first_name": "CHARRLYSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "11489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Christian Sanders, MD
• Torin T Sanders, LCSW
• Wanda Sanders, BS
• Yolanda Sanders, LCSW
• Joshua Sanderson, M.D.
• Mariama Cook Sandifer, LPC
• William Sandino
• Chelsey Tyler Sandlin, M.D.
• Marguerite Demarest Sandow
• Tyler Sandow

• Social Worker in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.