Individual provider Active NPI

Cindy Cae Dahlstrom McNitt, MSW

  • Clinical Social Worker
  • Slidell, LA
National Provider Identifier
1033204292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3743 Issued in LA
Practice address
119 Aberdeen Dr
Slidell, LA 70461-3917
Phone
(985) 641-7400
Fax
(985) 641-4717
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3743 LA Primary

Addresses

Primary practice location

119 Aberdeen Dr
Slidell, LA 70461-3917

Mailing address

119 Aberdeen Dr
Slidell, LA 70461-3917
Phone (985) 641-7400

Other identifiers 1

IdentifierTypeStateIssuer
1541290MedicaidLA

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
I20080424000804 LA Practitioner - Clinical Social Worker 7911085378 Practice locations: Slidell, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

119 Aberdeen Dr
Slidell, LA 70461-3917
Phone (985) 641-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3743LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy C. D. McNitt, LCSW, LLC Clinical PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033204292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ABERDEEN DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613917",
            "telephone_number": "985-641-7400",
            "fax_number": "985-641-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 ABERDEEN DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613917",
            "telephone_number": "985-641-7400",
            "fax_number": "985-641-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNITT",
        "first_name": "CINDY",
        "middle_name": "CAE DAHLSTROM",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1541290",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.