Active NPI
Gasper James Bongiovani, LCSW
- Clinical Social Worker
- New Orleans, LA
National Provider Identifier
1124319348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5162
- Practice address
- 2626 Canal St
Suite 201
New Orleans, LA 70119-6410 - Phone
- (504) 525-2366
- Fax
- (504) 525-7525
- NPI assigned
- Apr 21, 2011
- Sex
- Male
- 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 | 5162 | LA | Primary |
Addresses
Primary practice location
2626 Canal St
Suite 201
New Orleans, LA 70119-6410
Mailing address
2626 Canal St
Suite 201
New Orleans, LA 70119-6410
Phone (504) 432-4796
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5162 | LA | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Community Outreach, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1750753380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1124319348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 CANAL ST",
"address_2": "SUITE 201",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196410",
"telephone_number": "504-432-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 CANAL ST",
"address_2": "SUITE 201",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196410",
"telephone_number": "504-525-2366",
"fax_number": "504-525-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONGIOVANI",
"first_name": "GASPER",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-21",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "5162",
"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 Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.