Provider Demographics
NPI:1083049829
Name:SPENCER, LA TOYA ANDERSON (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LA TOYA
Middle Name:ANDERSON
Last Name:SPENCER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1388 SHIPYARD DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-6645
Mailing Address - Country:US
Mailing Address - Phone:985-956-4788
Mailing Address - Fax:
Practice Address - Street 1:2701 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-3013
Practice Address - Country:US
Practice Address - Phone:504-250-6367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11873104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker