Individual
LESA K. SHARKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
718 WEST NEW RIVER ST., GONZALES, LA 70737-2502
(225) 936-9142
(225) 644-9962
Mailing address
718 WEST NEW RIVER ST., GONZALES, LA 70737-2502
(225) 936-9142
(225) 644-9962
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5898
LA
1041C0700X
Clinical Social Worker
5898
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3B277
MEDICARE PTAN
LA
01
—
NI6382LS
BLUE CROSS PROVIDER
LA
Enumeration date
06/18/2009
Last updated
02/25/2011
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