MEDICARE: MS. MARIA ANN SANDS LCSW

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	1041C0700X	Clinical Social Worker	4151	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14926334	OTHER	LA	CAQH

General Provider Information

NPI Number	:	1417573361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA ANN SANDS LCSW

Provider Business Mailing Address
First Line	:	2301 EDENBORN AVENUE
Second Line	:	UNIT 1002
City	:	METAIRIE
State	:	LA
Zip	:	70001
Country	:	US
Telephone Number	:	504-782-3272
Fax Number	:	504-267-4678

Provider Business Practice Location Address
First Line	:	2301 EDENBORN AVENUE
Second Line	:	UNIT 1002
City	:	METAIRIE
State	:	LA
Zip	:	70001
Country	:	US
Telephone Number	:	504-314-6455
Fax Number	:	504-267-4678

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

Provider Enumeration Date	:	06/17/2020
Last Update Date	:	01/04/2026

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