Active NPI
Andree T Surcouf
- Social Worker
- Metairie, LA
National Provider Identifier
1104969419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 377
- Practice address
- 2820 Athania Pkwy
Metairie, LA 70002 - Phone
- (504) 833-9556
- NPI assigned
- Feb 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 377 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | 946 | LA |
Addresses
Primary practice location
2820 Athania Pkwy
Metairie, LA 70002
Mailing address
2820 Athania Pkwy
Metairie, LA 70002
Phone (504) 833-9556
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 |
|---|---|---|---|---|
| I20101014000805 | LA | Practitioner - Clinical Social Worker | 5496947079 | Practice locations: Metairie, LA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3017 Harvard Ave
Suite 303
Metairie, LA 70006-6406
Phone (504) 833-9556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 377 | LA | MD | Social Worker |
| 946 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1104969419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 ATHANIA PKWY",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70002",
"telephone_number": "504-833-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 ATHANIA PKWY",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70002",
"telephone_number": "504-833-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURCOUF",
"first_name": "ANDREE",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "377",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "946",
"primary": false
}
],
"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 Aug 18, 2010; 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.