Active NPI
Misty Humble, LCSW
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1073930467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11725
- Practice address
- 4615 Government St
Building 1
Baton Rouge, LA 70806-5922 - Phone
- (225) 922-0445
- Fax
- (225) 922-2658
- NPI assigned
- Mar 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 11725 | LA | |
| Clinical Social Worker | 1041C0700X | 11725 | LA | Primary |
Addresses
Primary practice location
4615 Government St
Building 1
Baton Rouge, LA 70806-5922
Mailing address
4615 Government St
Building 2
Baton Rouge, LA 70806-5922
Phone (225) 925-4282
Other names 1
- Misty Humble
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11725 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Human Services District School Based Services | Past | Accepting new patients | |
| Capital Area Human Services District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Children's Behavioral Health
- Adolescent and Children Mental Health Clinic/Center
- Baton Rouge, LA
- NPI 1982768644
-
- Adolescent and Children Mental Health Clinic/Center
- Baton Rouge, LA
- NPI 1326464637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1073930467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 GOVERNMENT ST",
"address_2": "BUILDING 2",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708065922",
"telephone_number": "225-925-4282",
"fax_number": "225-925-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 GOVERNMENT ST",
"address_2": "BUILDING 1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708065922",
"telephone_number": "225-922-0445",
"fax_number": "225-922-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMBLE",
"first_name": "MISTY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "LA",
"license": "11725",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "11725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "HUMBLE",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.