Individual provider Active NPI

Maggie Gremillion, LCSW

  • Social Worker
  • New Orleans, LA
National Provider Identifier
1114351137
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11596 Issued in LA
Practice address
2601 Tulane Ave
Suite 500
New Orleans, LA 70119-7462
Phone
(504) 821-2601
NPI assigned
Aug 27, 2013
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11596 LA Primary

Addresses

Primary practice location

2601 Tulane Ave
Suite 500
New Orleans, LA 70119-7462

Mailing address

1123 State St
New Orleans, LA 70118-5950
Phone (318) 452-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68687TXMDMental Health Counselor
11596LAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1114351137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 STATE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185950",
            "telephone_number": "318-452-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 TULANE AVE",
            "address_2": "SUITE 500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197462",
            "telephone_number": "504-821-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMILLION",
        "first_name": "MAGGIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "11596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.