Constance Anne Konikoff, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2707 Issued in LA

Practice address

143 Ridgeway Dr Ste 207
Lafayette, LA 70503-3532

Phone

(337) 258-6125

NPI assigned

Jan 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• C a Konikoff MSW LCSW LLC

  • Adult Mental Health Clinic/Center
  • Lafayette, LA
  • NPI 1659842789
  NPD (past) Authorized official

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1164573580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DR STE 207",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033532",
            "telephone_number": "337-258-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DR STE 207",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033532",
            "telephone_number": "337-258-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIKOFF",
        "first_name": "CONSTANCE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Knox
• Madison Kaylee Knox, B.S.
• Stephanie B Kobetz, RDN, LDN
• Tammie Koelz, RPH
• Paul Alexander Koerner Jr., LPC
• Foster Clint Kordisch III, MD
• Margaret Kordisch
• Kortneys Kounseling Services, LLC
• William Frederick Kortum III, MD
• David Paul Kosnosky, DO

• Clinical Social Worker in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.