MEDICARE: SHEILA ANN TOWNSEND LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	6533	KS
2	104100000X	Social Worker	11272	LA

General Provider Information

NPI Number	:	1124241195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA ANN TOWNSEND LMSW

Provider Business Mailing Address
First Line	:	3300 W ESPLANADE AVE S
Second Line	:	SUITE 213
City	:	METAIRIE
State	:	LA
Zip	:	70002-7406
Country	:	US
Telephone Number	:	504-838-5215
Fax Number	:	504-838-5714

Provider Business Practice Location Address
First Line	:	5001 WESTBANK EXPY
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-2954
Country	:	US
Telephone Number	:	504-349-8755
Fax Number	:	504-349-8768

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	10/27/2011

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