Healthcare Provider Details

I. General information

NPI: 1285299180
Provider Name (Legal Business Name): JOANNIE SPARKS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 RIVER OAKS RD W
NEW ORLEANS LA
70123-2163
US

IV. Provider business mailing address

PO BOX 44
HARVEY LA
70059-0044
US

V. Phone/Fax

Practice location:
  • Phone: 504-838-5718
  • Fax:
Mailing address:
  • Phone: 504-722-6094
  • Fax: 504-341-5071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12097
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number12097
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: