Simone Hulbert
Individual provider Active NPI Social Worker · Avondale, LA
NPI 1043681802 · NPPES record last updated May 13, 2016
Key facts
- NPI
- 1043681802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 545 Avondale Garden Rd
Avondale, LA 70094-2611 - Phone
- (504) 205-3436
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
545 Avondale Garden Rd
Avondale, LA 70094-2611
Mailing address
545 Avondale Garden Rd
Avondale, LA 70094-2611
Phone (504) 205-3436
NPI Registry JSON
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1043681802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 AVONDALE GARDEN RD",
"city": "AVONDALE",
"state": "LA",
"postal_code": "700942611",
"telephone_number": "504-205-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 AVONDALE GARDEN RD",
"city": "AVONDALE",
"state": "LA",
"postal_code": "700942611",
"telephone_number": "504-205-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULBERT",
"first_name": "SIMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.