Individual provider Active NPI

Bertha Sligh

  • Social Worker
  • Mansfield, LA
National Provider Identifier
1053783944
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19717 Issued in LA
Practice address
809 Polk St
Mansfield, LA 71052
Phone
(318) 621-0910
Fax
(318) 871-5566
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19717 LA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

809 Polk St
Mansfield, LA 71052

Mailing address

809 Polk St
Mansfield, LA 71052-2452
Phone (318) 621-0910

Other identifiers 1

IdentifierTypeStateIssuer
721410474MedicaidLA

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

LicenseStateTypeSpecialty
19717LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Institute Incorporated Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1053783944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 POLK ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522452",
            "telephone_number": "318-621-0910",
            "fax_number": "318-871-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 POLK ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "71052",
            "telephone_number": "318-621-0910",
            "fax_number": "318-871-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIGH",
        "first_name": "BERTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "19717",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721410474",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.