Individual provider Active NPI

David F Talmage, L.C.S.W., B.C.D

  • Clinical Social Worker
  • Covington, LA
National Provider Identifier
1013042811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
971 Issued in LA
Practice address
5001 Highway 190 East Service Rd
Suite C4-5
Covington, LA 70433-4930
Phone
(985) 893-7608
Fax
(985) 893-7608
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 971 LA Primary

Addresses

Primary practice location

5001 Highway 190 East Service Rd
Suite C4-5
Covington, LA 70433-4930

Mailing address

5001 Highway 190 East Service Rd
Suite C4-5
Covington, LA 70433-4930
Phone (985) 893-7608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226001185 LA Practitioner - Clinical Social Worker 0547156390 Practice locations: Covington, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
971LAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013042811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 HIGHWAY 190 EAST SERVICE RD",
            "address_2": "SUITE C4-5",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334930",
            "telephone_number": "985-893-7608",
            "fax_number": "985-893-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HIGHWAY 190 EAST SERVICE RD",
            "address_2": "SUITE C4-5",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334930",
            "telephone_number": "985-893-7608",
            "fax_number": "985-893-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALMAGE",
        "first_name": "DAVID",
        "middle_name": "F",
        "credential": "L.C.S.W., B.C.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.