Individual provider Active NPI

Therese Kirkpatrick I, LMSW

  • Social Worker
  • Lafayette, LA
National Provider Identifier
1003317637
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15656 Issued in LA
Practice address
1304 Bertrand Dr Ste E3
Lafayette, LA 70506-9105
Phone
(337) 962-1987
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 010557591 LA
Social Worker 104100000X 15656 LA Primary

Addresses

Primary practice location

1304 Bertrand Dr Ste E3
Lafayette, LA 70506-9105

Mailing address

1304 Bertrand Dr Ste E3
Lafayette, LA 70506-9105
Phone (337) 962-1987

Other practice location 1

100 Thomas St Ste 3
Abbeville, LA 70510-4524
Phone (337) 962-1987

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15656LAMDSocial Worker
010557591LAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Leon C. Winters LCSW, LLC Past Accepting new patients
Hub City Community Center Past Accepting new patients

Organizations & group practices 2

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1003317637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE E3",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069105",
            "telephone_number": "337-962-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE E3",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069105",
            "telephone_number": "337-962-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Thomas St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "705104524",
            "country_code": "US",
            "telephone_number": "337-962-1987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "THERESE",
        "name_suffix": "I",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "010557591",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "15656",
            "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 Feb 11, 2025; 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.