Individual provider Active NPI

Anthony L Digeorge Jr., LCSW

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1033389291
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2530 Issued in LA
Practice address
122 Sierra CT
Metairie, LA 70001-5326
Phone
(504) 884-7989
NPI assigned
Mar 4, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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 2530 LA Primary

Addresses

Primary practice location

122 Sierra CT
Metairie, LA 70001-5326

Mailing address

122 Sierra CT
Metairie, LA 70001-5326
Phone (504) 884-7989

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
I20250813000394 LA Practitioner - Clinical Social Worker 8628576139 Practice locations: Metairie, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Tulane University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 Sierra CT
Metairie, LA 70001-5326
Phone (504) 884-7989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2530LAMDRadiography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1033389291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SIERRA CT",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015326",
            "telephone_number": "504-884-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SIERRA CT",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015326",
            "telephone_number": "504-884-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGEORGE",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.