Individual provider Active NPI

Nicole Marie Rabalais, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1154777209
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11992 Issued in LA
Practice address
1538 Louisiana Ave
New Orleans, LA 70115-3553
Phone
(504) 896-2345
Fax
(504) 896-2240
NPI assigned
May 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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 11992 LA Primary

Addresses

Primary practice location

1538 Louisiana Ave
New Orleans, LA 70115-3553

Mailing address

1538 Louisiana Ave
New Orleans, LA 70115-3553
Phone (504) 896-2345

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
I20161206000992 LA Practitioner - Clinical Social Worker 5698055838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11992LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nola Art Therapy and Counseling, L.L.C. CurrentSince Mar 22, 2023 Accepting new patients
Tennessee Art Therapy and Counseling, LLC PastSince Mar 11, 2025 Accepting new patients

Locations

1000 Veterans Memorial Blvd
Ste 310
Metairie, LA 70005
Phone (504) 220-1483

1000 Veterans Memorial Blvd
Metairie, LA 70005
Phone (504) 220-1483

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": "1462665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1154777209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 LOUISIANA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153553",
            "telephone_number": "504-896-2345",
            "fax_number": "504-896-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 LOUISIANA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153553",
            "telephone_number": "504-896-2345",
            "fax_number": "504-896-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABALAIS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-08",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.