Tina Maria Musacchia, LCSW
Individual provider Active NPI Clinical Social Worker · Independence, LA
NPI 1093714289 · NPPES record last updated Aug 2, 2007
Key facts
- NPI
- 1093714289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9523 (LA)
- Practice address
- 281 West 4TH St.
Independence, LA 70443-2386 - Phone
- (985) 878-0066
- Fax
- (985) 878-0626
- NPI assigned
- Jul 19, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9523 | LA | MD | Professional Counselor |
| LSW4474 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multipractice Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW4474 | TN | |
| Clinical Social Worker | 1041C0700X | 9523 | LA | Yes |
Addresses
Primary practice location
281 West 4TH St.
Independence, LA 70443-2386
Mailing address
281 West 4TH St.
Independence, LA 70443-2386
Phone (985) 878-0066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3927714 | Medicaid | TN |
Other providers in Independence, LA
- Wendy Elizabeth McCrimon
- Lacy Champagne Mills
- Sedrick Terrell Milton II
- Dominique Iria'N Morgan
- Multipractice Clinic
- Kristen Muscarello
- Marc Joseph Muscarello
- Tashawn L. Mustiful
- Marshall Reid Naquin
- Suhail Naseri
All providers in Independence, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.