Active NPI
Sherril Rudd, MSW LCSW
- Clinical Social Worker
- Metairie, LA
National Provider Identifier
1093747412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1909
- Practice address
- 3500 N Causeway Blvd
St 1410
Metairie, LA 70002 - Phone
- (504) 838-9919
- Fax
- (504) 834-3101
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 1909 | LA | Primary |
Addresses
Primary practice location
3500 N Causeway Blvd
St 1410
Metairie, LA 70002
Mailing address
3500 N Causeway Blvd
St 1410
Metairie, LA 70002
Phone (504) 838-9919
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031203000597 | LA | Practitioner - Clinical Social Worker | 3476458407 | Practice locations: Metairie, LA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3500 N Causeway Blvd
Suite 1516
Metairie, LA 70002-3526
Phone (504) 533-9760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lainie Breaux, LLC | Past | Accepting new patients | |
| Balanced Virtue Counseling | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Metairie, LA
- NPI 1538051412
-
- Mental Health Counselor
- Metairie, LA
- NPI 1205256302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1093747412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N CAUSEWAY BLVD",
"address_2": "ST 1410",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70002",
"telephone_number": "504-838-9919",
"fax_number": "504-834-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N CAUSEWAY BLVD",
"address_2": "ST 1410",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70002",
"telephone_number": "504-838-9919",
"fax_number": "504-834-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "SHERRIL",
"name_prefix": "Ms.",
"credential": "MSW LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "1909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.