Individual provider Active NPI

Mary Daigneault, LCSW-R

  • Clinical Social Worker
  • Mandeville, LA
National Provider Identifier
1144327735
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15652 Issued in LA
Practice address
432 Yaupon Dr
Mandeville, LA 70471-2616
Phone
(518) 424-6097
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R032932-1 NY
Clinical Social Worker 1041C0700X LCSW-22893 AZ
Clinical Social Worker 1041C0700X 15652 LA Primary

Addresses

Primary practice location

432 Yaupon Dr
Mandeville, LA 70471-2616

Mailing address

432 Yaupon Dr
Mandeville, LA 70471-2616
Phone (518) 424-6097

Other identifiers 2

IdentifierTypeStateIssuer
7481509OtherNYVALUE OPTIONS EMPRIE PLAN
01667858MedicaidNY

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
I20200306000350 LA Practitioner - Clinical Social Worker 3072609924 Practice locations: Mandeville, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

432 Yaupon Dr
Mandeville, LA 70471-2616
Phone (518) 424-6097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R032932-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
William J Feeney MD PLLC PastSince Jul 1, 2004 Accepting new patients
Steven E Fox Inc PastSince Aug 16, 2012 Accepting new patients
Prime Care Physicians, P.L.L.C. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1144327735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 YAUPON DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712616",
            "telephone_number": "518-424-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 YAUPON DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712616",
            "telephone_number": "518-424-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGNEAULT",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R032932-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22893",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "15652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS EMPRIE PLAN",
            "identifier": "7481509",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.