Individual provider Active NPI

Suzanne Marie Pauratore, LCSW, LMFT

  • Clinical Social Worker
  • Slidell, LA
National Provider Identifier
1124077037
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1494 Issued in LA
Practice address
417 Briargrove Dr
Slidell, LA 70458-1702
Phone
(985) 649-2549
Fax
(985) 649-2549
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1494 LA Primary

Addresses

Primary practice location

417 Briargrove Dr
Slidell, LA 70458-1702

Mailing address

417 Briargrove Dr
Slidell, LA 70458-1702
Phone (985) 649-2549

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000432 LA Practitioner - Clinical Social Worker 0244416386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

330 Oak Harbor Blvd a
Slidell, LA 70458-5702
Phone (985) 649-2549

417 Briargrove Dr
Slidell, LA 70458-1702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1494LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Pauratore, LCSW, Inc. Clinical CurrentSince Jan 13, 2012 Accepting new patients

Locations

330 Oak Harbor Blvd
Slidell, LA 70458
Phone (985) 649-2549

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1124077037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BRIARGROVE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581702",
            "telephone_number": "985-649-2549",
            "fax_number": "985-649-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BRIARGROVE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581702",
            "telephone_number": "985-649-2549",
            "fax_number": "985-649-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAURATORE",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.