Individual provider Active NPI

Sandra F. Guidry, LCSW

  • Clinical Social Worker
  • La Place, LA
National Provider Identifier
1841372448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5119 Issued in LA
Practice address
2840 W Airline Hwy
Suite a
La Place, LA 70068-2951
Phone
(985) 479-8000
Fax
(985) 479-8002
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5119 LA Primary

Addresses

Primary practice location

2840 W Airline Hwy
Suite a
La Place, LA 70068-2951

Mailing address

PO Box 2083
La Place, LA 70069-2083
Phone (985) 479-8000

Other identifiers 1

IdentifierTypeStateIssuer
PK100087959001OtherLACOVENTRY

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
5119LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromuscular Medical Association, LLC PastSince Jun 18, 2023 Accepting new patients

Organizations & group practices 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841372448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2083",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700692083",
            "telephone_number": "985-479-8000",
            "fax_number": "985-479-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 W AIRLINE HWY",
            "address_2": "SUITE A",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682951",
            "telephone_number": "985-479-8000",
            "fax_number": "985-479-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "SANDRA",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "PK100087959001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.