Individual provider Active NPI

Angela Louise Centanni, LCSW

  • Clinical Social Worker
  • La Place, LA
National Provider Identifier
1053411678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 7553 Issued in LA
Practice address
1706 Cannes Dr
La Place, LA 70068-2407
Phone
(985) 652-4330
Fax
(985) 652-4335
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

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 LCSW 7553 LA Primary

Addresses

Primary practice location

1706 Cannes Dr
La Place, LA 70068-2407

Mailing address

1706 Cannes Dr
La Place, LA 70068-2407
Phone (985) 652-4330

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 7553LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053411678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 CANNES DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682407",
            "telephone_number": "985-652-4330",
            "fax_number": "985-652-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 CANNES DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682407",
            "telephone_number": "985-652-4330",
            "fax_number": "985-652-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTANNI",
        "first_name": "ANGELA",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "LCSW 7553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.