Individual provider Active NPI

Markela Robertson, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1083216899
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12325 Issued in LA
Practice address
302 Dulles Dr
Lafayette, LA 70506-3008
Phone
(337) 262-4188
Fax
(337) 262-4199
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 12325 LA Primary

Addresses

Primary practice location

302 Dulles Dr
Lafayette, LA 70506-3008

Mailing address

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718002070 LA Practitioner - Clinical Social Worker 0749726495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12325LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Area Human Services District CurrentSince May 12, 2024 Accepting new patients
Acadiana Area Human Services District CurrentSince May 12, 2024 Accepting new patients
Acadiana Area Human Services District Current Accepting new patients

Locations

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/aahsd/r4/

Organizations & group practices 3

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": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1083216899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4100",
            "fax_number": "337-262-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4188",
            "fax_number": "337-262-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MARKELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.