Individual provider Active NPI

Cargina Johnette Myles

  • Social Worker
  • Shreveport, LA
National Provider Identifier
1073976577
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17040 Issued in LA
Practice address
3939 Linwood Ave
Shreveport, LA 71108
Phone
(318) 868-3093
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 17040 LA Primary

Addresses

Primary practice location

3939 Linwood Ave
Shreveport, LA 71108

Mailing address

1048 Devereaux Rd
Shreveport, LA 71107-3004
Phone (318) 423-5391

Other practice location 1

1048 Devereaux Rd
Shreveport, LA 71107-3004
Phone (318) 453-7376

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
17040LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Let'S Talk Counseling and Therapy LLC 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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1073976577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 DEVEREAUX RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073004",
            "telephone_number": "318-423-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71108",
            "telephone_number": "318-868-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1048 Devereaux Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711073004",
            "country_code": "US",
            "telephone_number": "318-453-7376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYLES",
        "first_name": "CARGINA",
        "middle_name": "JOHNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.