Active NPI
Lisa Lebouef Oliver, LCSW BCD
- Clinical Social Worker
- Lafayette, LA
National Provider Identifier
1093729410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2495
- Practice address
- 315 S College
Suite #144
Lafayette, LA 70503 - Phone
- (337) 233-8052
- Fax
- (337) 237-9891
- NPI assigned
- Jul 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2495 | LA | Primary |
Addresses
Primary practice location
315 S College
Suite #144
Lafayette, LA 70503
Mailing address
315 S College
Suite #144
Lafayette, LA 70503
Phone (337) 233-8052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 14, 2024 through Mar 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2495 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093729410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S COLLEGE",
"address_2": "SUITE #144",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "337-233-8052",
"fax_number": "337-237-9891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S COLLEGE",
"address_2": "SUITE #144",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "337-233-8052",
"fax_number": "337-237-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "LISA",
"middle_name": "LEBOUEF",
"name_prefix": "Mrs.",
"credential": "LCSW BCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "2495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.