MEDICARE: ELIZABETH MA

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	14816	LA

General Provider Information

NPI Number	:	1861969248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MA

Provider Business Mailing Address
First Line	:	1951 FLORIDA AVE SW
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-4947
Country	:	US
Telephone Number	:	225-665-0473
Fax Number	:	225-665-0283

Provider Business Practice Location Address
First Line	:	1951 FLORIDA AVE SW
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-4947
Country	:	US
Telephone Number	:	225-665-0473
Fax Number	:	225-665-0283

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

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	10/24/2018

Similar Medicare Providers

1538023460 — BRIANA CARTER
Practice Location Address:

1951 FLORIDA AVE SW STE D&E
DENHAM SPRINGS, LA
70726-4947

Practice Phone: 225-665-0283
Practice Fax:

1588724660 — MS. LESLIE D BARNETT MSW, LCSW
Practice Location Address:

1951 FLORIDA AVE SW STE D
DENHAM SPRINGS, LA
70726-4947

Practice Phone: 225-665-0473
Practice Fax: 225-665-0283

1578805057 — MS. MARRENE WILLIAMS BEATTY LCSW-BACS
Practice Location Address:

1951 FLORIDA AVE SW STE D&E
DENHAM SPRINGS, LA
70726-4947

Practice Phone: 985-543-4800
Practice Fax: 985-543-4817

1104293547 — ENRICKA THOMAS LCSW-BACS
Practice Location Address:

1951 FLORIDA AVE SW
DENHAM SPRINGS, LA
70726-4947

Practice Phone: 225-665-0473
Practice Fax:

1831558600 — SHEREVA LEWIS MA, LPC
Practice Location Address:

1951 FLORIDA AVE SW STE D&E
DENHAM SPRINGS, LA
70726-4947

Practice Phone: 225-665-0473
Practice Fax: 225-665-0283

1801453907 — MS. BIANCA RENAE LEE-JONES LPC-S
Practice Location Address:

1951 FLORIDA AVE SW STE D&E
DENHAM SPRINGS, LA
70726-4947

Practice Phone: 225-665-0473
Practice Fax:

Directions to “ ELIZABETH MA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.