Active NPI
Laquinta Renee Tibbs, LCSW
- Clinical Social Worker
- New Orleans, LA
National Provider Identifier
1033684535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.019071
- Practice address
- 2400 Canal St
New Orleans, LA 70119-6535 - Phone
- (504) 558-1408
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.019071 | IL | Primary |
Addresses
Primary practice location
2400 Canal St
New Orleans, LA 70119-6535
Mailing address
846 Joe Yenni Blvd Apt 20
Kenner, LA 70065-6149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.019071 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1033684535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "846 JOE YENNI BLVD APT 20",
"city": "KENNER",
"state": "LA",
"postal_code": "700656149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196535",
"telephone_number": "504-558-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBS",
"first_name": "LAQUINTA",
"middle_name": "RENEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.019071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.