Individual provider Active NPI

Alex Gagnet, LCSW

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1154531606
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5191 Issued in LA
Practice address
110 Veterans Memorial Blvd
Suite 202a
Metairie, LA 70005-3027
Phone
(504) 888-8600
Fax
(504) 832-7947
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5191 LA Primary

Addresses

Primary practice location

110 Veterans Memorial Blvd
Suite 202a
Metairie, LA 70005-3027

Mailing address

110 Veterans Memorial Blvd
Suite 202a
Metairie, LA 70005-3027
Phone (504) 888-8600

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

LicenseStateTypeSpecialty
5191LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alternate Choices Inc Clinical Past Accepting new patients
New Freedom Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154531606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 202A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053027",
            "telephone_number": "504-888-8600",
            "fax_number": "504-832-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 202A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053027",
            "telephone_number": "504-888-8600",
            "fax_number": "504-832-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNET",
        "first_name": "ALEX",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.