Individual provider Active NPI

Autumn Garrick

  • Clinical Social Worker
  • Lake Charles, LA
National Provider Identifier
1023995289
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16803 Issued in LA
Practice address
2615 Enterprise Blvd Ste a
Lake Charles, LA 70601-7686
Phone
(337) 480-7800
NPI assigned
Aug 19, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 16803 LA Primary

Addresses

Primary practice location

2615 Enterprise Blvd Ste a
Lake Charles, LA 70601-7686

Mailing address

2615 Enterprise Blvd Ste a
Lake Charles, LA 70601-7686

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
I20251121002158 LA Practitioner - Clinical Social Worker 3375035918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMG Archer Institute, LLCGroup PAC ID 7719227115, 16 clinicians

Practice addresses (Care Compare)

2615 Enterprise Blvd
Suite a
Lake Charles, LA 70601-7686
Phone (337) 480-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16803LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MMG Archer Institute, LLC CurrentSince Sep 12, 2025 Accepting new patients
Southwest Louisiana Hospital Association Inc PastSince May 8, 2022 Accepting new patients

Locations

2615 Enterprise Blvd
Ste A
Lake Charles, LA 70601
Phone (337) 480-7800

2829 4th Ave
Ste 150
Lake Charles, LA 70601
Phone (337) 477-7091

Networks

  • MS PPO

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": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1023995289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ENTERPRISE BLVD STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ENTERPRISE BLVD STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017686",
            "telephone_number": "337-480-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRICK",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "16803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.