Individual provider Active NPI

Dana Judice, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1003103029
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8245 Issued in LA
Practice address
217 W Brentwood Blvd
Lafayette, LA 70506-6110
Phone
(337) 993-7927
Fax
(337) 856-8127
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8245 LA Primary

Addresses

Primary practice location

217 W Brentwood Blvd
Lafayette, LA 70506-6110

Mailing address

217 W Brentwood Blvd
Lafayette, LA 70506-6110
Phone (337) 993-7927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Judice Counseling Services Clinical Current Accepting new patients
Acadiana After Hours, LLC Past Accepting new patients
Sunshine Pediatric and Family Clinic LLC Past Accepting new patients
Daniel Yeager Clinical Past Accepting new patients

Locations

411 Weeks St
New Iberia, LA 70560
Phone (337) 207-3536

Interoperability endpoints

  • Direct secure messaging: dana.judice.1@30520.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12117/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBAHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBAHCD/Endpoint/HBAHCD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1003103029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W BRENTWOOD BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066110",
            "telephone_number": "337-993-7927",
            "fax_number": "337-856-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W BRENTWOOD BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066110",
            "telephone_number": "337-993-7927",
            "fax_number": "337-856-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDICE",
        "first_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.