Active NPI
Megan Rabalais Dice, LCSW
- Clinical Social Worker
- Barksdale Afb, LA
National Provider Identifier
1023648185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11321
- Practice address
- 243 Curtiss Rd Ste 100
Barksdale Afb, LA 71110-2425 - Phone
- (318) 456-6600
- Fax
- (318) 869-1633
- NPI assigned
- Jan 16, 2020
- 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 | 11321 | LA | Primary |
Addresses
Primary practice location
243 Curtiss Rd Ste 100
Barksdale Afb, LA 71110-2425
Mailing address
707 Southfield Rd
Shreveport, LA 71106-2219
Phone (318) 869-1632
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1023648185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 SOUTHFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062219",
"telephone_number": "318-869-1632",
"fax_number": "318-869-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CURTISS RD STE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-6600",
"fax_number": "318-869-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICE",
"first_name": "MEGAN",
"middle_name": "RABALAIS",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "11321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barksdale Afb, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.