Healthcare Provider Details

I. General information

NPI: 1033279039
Provider Name (Legal Business Name): MADELENE STEPTER SPINNER MSW, LCSW,C-SSWS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14012 SHENANDOAH AVE
BATON ROUGE LA
70817-2925
US

IV. Provider business mailing address

14012 SHENANDOAH AVE
BATON ROUGE LA
70817-2925
US

V. Phone/Fax

Practice location:
  • Phone: 225-278-7057
  • Fax:
Mailing address:
  • Phone: 225-278-7057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5362
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: