Active NPI
Demetria J. Bouton, RSW
- Social Worker
- Slidell, LA
National Provider Identifier
1134592819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8509
- Practice address
- 1049 Madeline LN
Slidell, LA 70460-3995 - Phone
- (504) 231-1094
- Fax
- (504) 265-8340
- NPI assigned
- Nov 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8509 | LA | Primary |
Addresses
Primary practice location
1049 Madeline LN
Slidell, LA 70460-3995
Mailing address
1049 Madeline LN
Slidell, LA 70460-3995
Phone (504) 231-1094
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8509 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1134592819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 MADELINE LN",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704603995",
"telephone_number": "504-231-1094",
"fax_number": "504-265-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 MADELINE LN",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704603995",
"telephone_number": "504-231-1094",
"fax_number": "504-265-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTON",
"first_name": "DEMETRIA",
"middle_name": "J.",
"credential": "RSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "8509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.