Active NPI
Rakinzie Monique Fisher-Denham, LCSW
- Clinical Social Worker
- Pineville, LA
National Provider Identifier
1013683341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8231
- Practice address
- Alexandria VA Health Care System
2495 Shreveport Highway
Pineville, LA 71360 - Phone
- (318) 623-0663
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8231 | LA | Primary |
Addresses
Primary practice location
Alexandria VA Health Care System
2495 Shreveport Highway
Pineville, LA 71360
Mailing address
Alexandria VA Health Care System
2495 Shreveport Highway
Pineville, LA 71360
Phone (313) 186-2306
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8231 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1013683341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALEXANDRIA VA HEALTH CARE SYSTEM",
"address_2": "2495 SHREVEPORT HIGHWAY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71360",
"telephone_number": "313-186-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALEXANDRIA VA HEALTH CARE SYSTEM",
"address_2": "2495 SHREVEPORT HIGHWAY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71360",
"telephone_number": "318-623-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER-DENHAM",
"first_name": "RAKINZIE",
"middle_name": "MONIQUE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2023-03-07",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "8231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.