| Doctor Name: | SANDRA S MATHEWS |
| NPI Number: | 1003818311 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 1706 |
| Business Practice Address: | 218 Rue Louis Xiv Ste A Lafayette, LA - 705085766 |
| Business Phone Number: | 3379881271 |
| Business Fax Number: | 3379881272 |
| Mailing Address: | 125 Green Oaks Dr, LAFAYETTE |
| State: | LA |
| Postal Code: | 705032719 |
| Phone Number: | 3372985218 |
| Fax Number: | 3372896944 |
| NPI Enumeration Date: | 06/01/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |