Individual provider Active NPI

Barry H Pilson, PH.D.

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1033136684
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1051 Issued in LA
Practice address
2420 Athania Pkwy
FL 3
Metairie, LA 70001-1975
Phone
(504) 834-2455
Fax
(504) 837-3411
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 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 1051 LA Primary

Addresses

Primary practice location

2420 Athania Pkwy
FL 3
Metairie, LA 70001-1975

Mailing address

2420 Athania Pkwy
FL 3
Metairie, LA 70001-1975
Phone (504) 834-2455

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
I20061108000005 LA Practitioner - Clinical Social Worker 2961409859 Practice locations: Metairie, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2420 Athania Pkwy
Metairie, LA 70001-1975
Phone (504) 834-2455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1051LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1033136684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 ATHANIA PKWY",
            "address_2": "FL 3",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011975",
            "telephone_number": "504-834-2455",
            "fax_number": "504-837-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 ATHANIA PKWY",
            "address_2": "FL 3",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011975",
            "telephone_number": "504-834-2455",
            "fax_number": "504-837-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILSON",
        "first_name": "BARRY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.