Provider Demographics
NPI:1811496771
Name:SAUNDERS, WALTER ALLEN SR (RSW)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:ALLEN
Last Name:SAUNDERS
Suffix:SR
Gender:M
Credentials:RSW
Other - Prefix:MR
Other - First Name:WALTER
Other - Middle Name:ALLEN
Other - Last Name:SAUNDERS
Other - Suffix:SR
Other - Last Name Type:Former Name
Other - Credentials:RSW
Mailing Address - Street 1:4761 PRESS DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-4709
Mailing Address - Country:US
Mailing Address - Phone:504-434-9918
Mailing Address - Fax:
Practice Address - Street 1:4300 S I 10 SERVICE RD W STE 215
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-7436
Practice Address - Country:US
Practice Address - Phone:504-301-9990
Practice Address - Fax:504-265-9370
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12382171M00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator