Individual provider Active NPI

Levillia Rochelle Harleaux-Moore, LMSW, BSW, MSW

  • Social Worker
  • Baton Rouge, LA
National Provider Identifier
1134491772
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4864 Issued in LA
Practice address
4725 Elmwood Dr
Baton Rouge, LA 70814-3304
Phone
(225) 216-1280
Fax
(225) 757-6426
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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 4864 LA Primary

Addresses

Primary practice location

4725 Elmwood Dr
Baton Rouge, LA 70814-3304

Mailing address

4725 Elmwood Dr
Baton Rouge, LA 70814-3304
Phone (225) 216-1280

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4864LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1134491772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 ELMWOOD DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708143304",
            "telephone_number": "225-216-1280",
            "fax_number": "225-757-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 ELMWOOD DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708143304",
            "telephone_number": "225-216-1280",
            "fax_number": "225-757-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLEAUX-MOORE",
        "first_name": "LEVILLIA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, BSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "4864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.