Individual provider Active NPI

Susan G Herrod, LCSW

  • Clinical Social Worker
  • Clinton, LA
National Provider Identifier
1154470425
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2902 Issued in LA
Practice address
29437 Highway 63 Ste.14
Clinton, LA 70722
Phone
(225) 683-5292
Fax
(225) 683-1310
NPI assigned
Jan 9, 2007
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2902 LA
Clinical Social Worker 1041C0700X 2902 LA Primary

Addresses

Primary practice location

29437 Highway 63 Ste.14
Clinton, LA 70722

Mailing address

6161 Perkins Rd Ste 2C
Baton Rouge, LA 70808-4119
Phone (225) 769-2770

Other practice location 1

6161 Perkins Rd Ste 2C
Baton Rouge, LA 70808-4119
Phone (225) 769-2770

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2902LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1154470425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 PERKINS RD STE 2C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084119",
            "telephone_number": "225-769-2770",
            "fax_number": "225-769-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29437 HIGHWAY 63 STE.14",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "70722",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6161 Perkins Rd Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084119",
            "country_code": "US",
            "telephone_number": "225-769-2770",
            "fax_number": "225-769-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERROD",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "2902",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.