Healthcare Provider Details

I. General information

NPI: 1023928918
Provider Name (Legal Business Name): SUSAN W ANDRY L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E SAINT BERNARD HWY
CHALMETTE LA
70043-5162
US

IV. Provider business mailing address

200 E SAINT BERNARD HWY
CHALMETTE LA
70043-5162
US

V. Phone/Fax

Practice location:
  • Phone: 504-301-2000
  • Fax: 504-301-2010
Mailing address:
  • Phone: 504-301-2000
  • Fax: 504-301-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2465
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: