Individual provider Active NPI

Terry Collins Ainsworth, LCSW

  • Clinical Social Worker
  • Ponchatoula, LA
National Provider Identifier
1144844804
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6541 Issued in 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
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6541 LA Primary

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

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
I20221020000840 LA Practitioner - Clinical Social Worker 1052787793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6541LAMDOrthodontics and Dentofacial Orthopedic Dentist

Organizations & group practices 1

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1144844804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42484 BLYTH AVE",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704545498",
            "telephone_number": "985-974-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 N 7TH ST STE A",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543115",
            "telephone_number": "985-974-0429",
            "fax_number": "504-294-8310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 S Walnut St",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704034568",
            "country_code": "US",
            "telephone_number": "985-974-0429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "TERRY",
        "middle_name": "COLLINS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

Verify at the official NPI Registry.