MEDICARE: SUSANNAH SMITH

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	19353	LA

General Provider Information

NPI Number	:	1548133499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANNAH SMITH

Provider Business Mailing Address
First Line	:	150 CORA DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-4201
Country	:	US
Telephone Number	:	225-387-1611
Fax Number	:	225-353-5300

Provider Business Practice Location Address
First Line	:	1907 SOUTH DR
Second Line	:
City	:	NATCHITOCHES
State	:	LA
Zip	:	71457-2654
Country	:	US
Telephone Number	:	318-206-5265
Fax Number	:	225-343-5300

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

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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Directions to “ SUSANNAH SMITH ” Practice Location

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