Individual provider Active NPI

Teidra Gaspard, B.A., MSW

  • Social Worker
  • New Orleans, LA
National Provider Identifier
1083079206
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10031 Issued in LA
Practice address
3520 General Degaulle Dr
Suite 4070
New Orleans, LA 70114-6757
Phone
(504) 363-7449
Fax
(504) 363-7077
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 10031 LA Primary

Addresses

Primary practice location

3520 General Degaulle Dr
Suite 4070
New Orleans, LA 70114-6757

Mailing address

3520 General Degaulle Dr
Suite 4070
New Orleans, LA 70114-6757
Phone (504) 363-7449

Other practice location 1

615 Baronne St Ste 304
New Orleans, LA 70113-1054
Phone (504) 814-8001

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
10031LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Inc. Past Accepting new patients
Creed Group of Louisiana LLC PastSince Mar 13, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1083079206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 4070",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-363-7449",
            "fax_number": "504-363-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 4070",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-363-7449",
            "fax_number": "504-363-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Baronne St Ste 304",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701131054",
            "country_code": "US",
            "telephone_number": "504-814-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASPARD",
        "first_name": "TEIDRA",
        "credential": "B.A., MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "10031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.