Active NPI
Carissa Kimberly Kolakauskas
- Clinical Social Worker
- New Orleans, LA
National Provider Identifier
1144420423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PENDING
- Practice address
- 3520 Dryades St
New Orleans, LA 70115-5331 - Phone
- (504) 654-9294
- NPI assigned
- Jul 24, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PENDING | LA | Primary |
Addresses
Primary practice location
3520 Dryades St
New Orleans, LA 70115-5331
Mailing address
4309 Annunciation St
New Orleans, LA 70115-1438
Phone (504) 715-3025
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 |
|---|---|---|---|
| PENDING | LA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1144420423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 ANNUNCIATION ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701151438",
"telephone_number": "504-715-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 DRYADES ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701155331",
"telephone_number": "504-654-9294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLAKAUSKAS",
"first_name": "CARISSA",
"middle_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "PENDING",
"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 22, 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.