Healthcare Provider Details

I. General information

NPI: 1679259543
Provider Name (Legal Business Name): SHENDREKIA M CAYETTE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2585 BRIGHTSIDE DR
BATON ROUGE LA
70820-3504
US

IV. Provider business mailing address

2585 BRIGHTSIDE DR
BATON ROUGE LA
70820-3504
US

V. Phone/Fax

Practice location:
  • Phone: 225-367-6855
  • Fax:
Mailing address:
  • Phone: 225-367-6855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number16536
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number16536
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: