Individual provider Active NPI

Clay Ward Roberts, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1023477270
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2929 Issued in LA
Practice address
8752 Quarters Lake Rd
BLDG 3 9
Baton Rouge, LA 70809-7306
Phone
(225) 922-9122
Fax
(225) 922-9125
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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 2929 LA Primary

Addresses

Primary practice location

8752 Quarters Lake Rd
BLDG 3 9
Baton Rouge, LA 70809-7306

Mailing address

8752 Quarters Lake Rd
BLDG 3 9
Baton Rouge, LA 70809-7306
Phone (225) 922-9122

Other names 1

  • Clay Sullivan Ward Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20160420000032 LA Practitioner - Clinical Social Worker 2264730514 Practice locations: Baton Rouge, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8752 Quarters Lake Rd
Baton Rouge, LA 70809-7306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2929LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1023477270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8752 QUARTERS LAKE RD",
            "address_2": "BLDG 3 9",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097306",
            "telephone_number": "225-922-9122",
            "fax_number": "225-922-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 QUARTERS LAKE RD",
            "address_2": "BLDG 3 9",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097306",
            "telephone_number": "225-922-9122",
            "fax_number": "225-922-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CLAY",
        "middle_name": "WARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAY",
            "last_name": "WARD",
            "middle_name": "SULLIVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.