Provider Demographics
NPI:1881105369
Name:ROACH, SHERLENA ELIZABETH (CERT SOCIAL WORKER)
Entity type:Individual
Prefix:MS
First Name:SHERLENA
Middle Name:ELIZABETH
Last Name:ROACH
Suffix:
Gender:F
Credentials:CERT SOCIAL WORKER
Other - Prefix:MS
Other - First Name:SHERLENA
Other - Middle Name:ELIZABETH
Other - Last Name:ROACH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CSW
Mailing Address - Street 1:2736 A P TUREAUD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-1126
Mailing Address - Country:US
Mailing Address - Phone:504-701-9181
Mailing Address - Fax:
Practice Address - Street 1:1104 4TH ST STE D
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-5909
Practice Address - Country:US
Practice Address - Phone:504-262-8884
Practice Address - Fax:504-309-9066
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical