Individual provider Active NPI

Mark H Nienaber, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1033410899
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5341 Issued in LA
Practice address
4615 Government St
Building 2
Baton Rouge, LA 70806-5820
Phone
(225) 925-1906
Fax
(225) 362-5356
NPI assigned
Nov 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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 5341 LA Primary

Addresses

Primary practice location

4615 Government St
Building 2
Baton Rouge, LA 70806-5820

Mailing address

4615 Government St
Building 2
Baton Rouge, LA 70806-5820
Phone (225) 925-1906

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
I20131223001144 LA Practitioner - Clinical Social Worker 0648407551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Area Human Services DistrictGroup PAC ID 2769450733, shared by 3 NPIs, 30 clinicians

Practice addresses (Care Compare)

1056 E Worthy St
Suite B
Gonzales, LA 70737-4369
Phone (225) 621-5770

2751 Wooddale Blvd
Baton Rouge, LA 70805-7567

7855 Howell Blvd
Suite 200
Baton Rouge, LA 70807-5257
Phone (225) 359-9315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5341LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Human Services District CurrentSince Oct 19, 2013 Accepting new patients
Capital Area Human Services District Clinical CurrentSince Oct 19, 2013 Accepting new patients
Capital Area Human Services District CurrentSince Oct 19, 2013 Accepting new patients
Capital Area Human Services District CurrentSince Oct 19, 2013 Accepting new patients

Locations

2751 Wooddale Blvd
Ste A
Baton Rouge, LA 70805
Phone (225) 925-1906

7855 Howell Blvd
Ste 200
Baton Rouge, LA 70807
Phone (225) 359-9315

7855 Howell Blvd
Ste 220
Baton Rouge, LA 70807
Phone (225) 454-6005

4615 Government St
Bldg 2
Baton Rouge, LA 70806
Phone (225) 922-0445

901 Catalpa St
Donaldsonville, LA 70346
Phone (225) 257-4448

1056 E Worthy St
Ste B
Gonzales, LA 70737
Phone (225) 621-5770

24705 Plaza Dr
Plaquemine, LA 70764
Phone (225) 687-9021

685 Louisiana Ave
Port Allen, LA 70767
Phone (225) 342-7525

5266 Commerce St
St Francisvle, LA 70775
Phone (225) 635-3811

Networks

  • LA PPO C-SNP

Organizations & group practices 4

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": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1033410899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 GOVERNMENT ST",
            "address_2": "BUILDING 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065820",
            "telephone_number": "225-925-1906",
            "fax_number": "225-362-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 GOVERNMENT ST",
            "address_2": "BUILDING 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065820",
            "telephone_number": "225-925-1906",
            "fax_number": "225-362-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENABER",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.