Individual provider Active NPI

Julie Mouton, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1104066141
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8790 Issued in LA
Practice address
113 W Convent St
Lafayette, LA 70501-6903
Phone
(337) 457-3000
Fax
(337) 457-3055
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150130000842 LA Practitioner - Clinical Social Worker 3072837616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services Texas LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients
Vcounselors PLLC CurrentSince Jan 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Azalea Health Services Clinical CurrentSince Jan 24, 2024 Accepting new patients
Insight Guidance Group CurrentSince Dec 15, 2019 Accepting new patients
Southwest Louisiana Veterans Home Past Accepting new patients

Locations

113 W Convent St
Lafayette, LA 70501
Phone (337) 534-0770

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Interoperability endpoints

  • Direct secure messaging: juliemouton@tdh.allscriptsdirect.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8790 LA Primary
Clinical Social Worker 1041C0700X 56189 TX

Addresses

NPPES NPI Registry

Primary practice location

113 W Convent St
Lafayette, LA 70501-6903

Mailing address

113 W Convent St
Lafayette, LA 70501-6903
Phone (337) 534-0770

Other practice location 1

1304 Bertrand Dr Ste D5
Lafayette, LA 70506-9104
Phone (337) 962-4549

Other practice location 2

5522 Lone Star Pkwy Ste 303
San Antonio, TX 78253-6722
Phone (855) 460-4111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2023.

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1104066141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W CONVENT ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016903",
            "telephone_number": "337-534-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CONVENT ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016903",
            "telephone_number": "337-457-3000",
            "fax_number": "337-457-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Bertrand Dr Ste D5",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705069104",
            "country_code": "US",
            "telephone_number": "337-962-4549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5522 Lone Star Pkwy Ste 303",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782536722",
            "country_code": "US",
            "telephone_number": "855-460-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUTON",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8790",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.