Terry Collins Ainsworth, LCSW
Individual provider Active NPI Clinical Social Worker · Ponchatoula, LA
NPI 1144844804 · NPPES record last updated Oct 10, 2022
Key facts
- NPI
- 1144844804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6541 (LA)
- Practice address
- 787 N 7TH St Ste a
Ponchatoula, LA 70454-3115 - Phone
- (985) 974-0429
- Fax
- (504) 294-8310
- NPI assigned
- May 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221020000840 | LA | Practitioner - Clinical Social Worker | 1052787793 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6541 | LA | Yes |
Addresses
Primary practice location
787 N 7TH St Ste a
Ponchatoula, LA 70454-3115
Mailing address
42484 Blyth Ave
Ponchatoula, LA 70454-5498
Phone (985) 974-0429
Other practice location 1
905 S Walnut St
Hammond, LA 70403-4568
Phone (985) 974-0429
Other providers in Ponchatoula, LA
- A-1 Always at Your Side, LLC
- A-1 Always at Your Side,LLC
- Agape Home Medical LLC
- David Presley Allen
- Gregory John Allen
- Ja'Juan Allen
- Allen'S Family Practice Clinic of Ponchatoula, L.L.P.
- Gabrielle Alyssa Anderson
All providers in Ponchatoula, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.