Provider Demographics
NPI:1245744788
Name:STOKES, SUE ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:SUE ANN
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 PECAN GROVE LN
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70121-1129
Mailing Address - Country:US
Mailing Address - Phone:504-914-2773
Mailing Address - Fax:
Practice Address - Street 1:1030 LESSEPS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-4736
Practice Address - Country:US
Practice Address - Phone:504-941-6041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA31501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical