Susan G Herrod, LCSW
Individual provider Active NPI Clinical Social Worker · Clinton, LA
NPI 1154470425 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1154470425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2902 (LA)
- Practice address
- 29437 Highway 63 Ste.14
Clinton, LA 70722 - Phone
- (225) 683-5292
- Fax
- (225) 683-1310
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2902 | LA | |
| Clinical Social Worker | 1041C0700X | 2902 | LA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2171569 | Medicaid | LA |
Other providers in Clinton, LA
- Frances R Havard
- Eric Wallace Hayes
- Sondra Denise Hayes
- Susan L Hayes
- Jennifer L Hendrix
- Lacy Starks Hill
- Lashica Cheronda Hilliard
- Brandilyn P Hodges
- Sarah Hooge
- Kelsey B Hoopes
All providers in Clinton, 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 Mar 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.