Individual provider Active NPI

Patrice Marie Priola, L.C.S.W.

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1073640652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2217 Issued in LA
Practice address
1812 N Woodlawn Ave
Metairie, LA 70001-2460
Phone
(504) 339-3913
Fax
(504) 889-1039
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

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 2217 LA Primary

Addresses

Primary practice location

1812 N Woodlawn Ave
Metairie, LA 70001-2460

Mailing address

1812 N Woodlawn Ave
Metairie, LA 70001-2460
Phone (504) 339-3913

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
2217LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073640652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 N WOODLAWN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012460",
            "telephone_number": "504-339-3913",
            "fax_number": "504-889-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N WOODLAWN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012460",
            "telephone_number": "504-339-3913",
            "fax_number": "504-889-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOLA",
        "first_name": "PATRICE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, 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.