Healthcare Provider Details

I. General information

NPI: 1831021476
Provider Name (Legal Business Name): LYNELL SANDERS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

IV. Provider business mailing address

10810 CLEARVIEW AVE
BATON ROUGE LA
70811-1709
US

V. Phone/Fax

Practice location:
  • Phone: 225-343-9505
  • Fax: 225-343-9141
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number12328
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: