Active NPI
Cynthia A Gaydon, LCSW
- Clinical Social Worker
- Lafayette, LA
National Provider Identifier
1164471371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3945
- Practice address
- 120 Rue Beauregard
Suite 202
Lafayette, LA 70508-3129 - Phone
- (337) 233-7551
- Fax
- (337) 233-7552
- NPI assigned
- May 8, 2006
- Last updated
- Nov 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3945 | LA | Primary |
Addresses
Primary practice location
120 Rue Beauregard
Suite 202
Lafayette, LA 70508-3129
Mailing address
120 Rue Beauregard
Suite 202
Lafayette, LA 70508-3129
Phone (337) 233-7551
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1560626 | Medicaid | LA | |
| 128587 | Other | COMPSYCH CORP | |
| 157610 | Other | MANAGED HEALTH NETWORK | |
| 2240373 | Other | CIGNA BEHAVIORAL HEALTH | |
| 00460353 | Other | VALUE OPTIONS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3945 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1164471371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 RUE BEAUREGARD",
"address_2": "SUITE 202",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083129",
"telephone_number": "337-233-7551",
"fax_number": "337-233-7552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 RUE BEAUREGARD",
"address_2": "SUITE 202",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083129",
"telephone_number": "337-233-7551",
"fax_number": "337-233-7552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYDON",
"first_name": "CYNTHIA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "3945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1560626",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH CORP",
"identifier": "128587",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "157610",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2240373",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "00460353",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.