Organization Active NPI

Mandi Laper, LCSW, Inc

  • Clinical Social Worker
  • Crowley, LA
National Provider Identifier
1073758462
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7242 Issued in LA
Legal business name
MANDI LAPER, LCSW, INC
Practice address
318 E Park St
Crowley, LA 70526-2468
Phone
(337) 280-0539
Fax
(337) 785-1188
NPI assigned
Dec 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Mandi Melton, LCSWNPI 1568685121
Title
LCSW
Phone
(337) 280-0539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 7242 LA Primary

Addresses

Primary practice location

318 E Park St
Crowley, LA 70526-2468

Mailing address

137 Timberland Ridge Blvd
Lafayette, LA 70507-2743
Phone (337) 280-0539

Other identifiers 1

IdentifierTypeStateIssuer
1549185MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090113000088 LA Part B Supplier - Clinic/Group Practice 3173686425 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1073758462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 TIMBERLAND RIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072743",
            "telephone_number": "337-280-0539",
            "fax_number": "337-785-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E PARK ST",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262468",
            "telephone_number": "337-280-0539",
            "fax_number": "337-785-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDI LAPER, LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-13",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "337-280-0539",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1549185",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.