Provider Demographics
NPI:1689888687
Name:STERN, ANDRE GEORGES (MSW)
Entity Type:Individual
Prefix:MR
First Name:ANDRE
Middle Name:GEORGES
Last Name:STERN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7611 MAPLE ST
Mailing Address - Street 2:STE. D
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5068
Mailing Address - Country:US
Mailing Address - Phone:504-895-0072
Mailing Address - Fax:
Practice Address - Street 1:7611 MAPLE ST
Practice Address - Street 2:STE. D
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5068
Practice Address - Country:US
Practice Address - Phone:504-895-0072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA20741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2074OtherSOCIAL WORK LISCENSE #