Individual provider Active NPI

Marguerite Wilcox, LCSW

  • Clinical Social Worker
  • Fort Johnson, LA
National Provider Identifier
1174005078
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13565 Issued in LA
Practice address
Baynes-Jones Army Community Hospital
1585 Third St
Fort Johnson, LA 71459
Phone
(318) 451-3541
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3394 FL
Clinical Social Worker 1041C0700X 13565 LA Primary

Addresses

Primary practice location

Baynes-Jones Army Community Hospital
1585 Third St
Fort Johnson, LA 71459

Mailing address

117 Wilderness Dr
Boyce, LA 71409-8608
Phone (318) 451-3541

Other practice location 1

117 Wilderness Dr
Boyce, LA 71409-8608
Phone (318) 451-3541

Other identifiers 2

IdentifierTypeStateIssuer
SW3394OtherFLLICENSE
13565OtherLALCSW

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

LicenseStateTypeSpecialty
SW3394FLMDClinical Social Worker
13565LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1174005078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WILDERNESS DR",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "714098608",
            "telephone_number": "318-451-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYNES-JONES ARMY COMMUNITY HOSPITAL",
            "address_2": "1585 THIRD ST",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "71459",
            "telephone_number": "318-451-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Wilderness Dr",
            "address_purpose": "LOCATION",
            "city": "Boyce",
            "state": "LA",
            "postal_code": "714098608",
            "country_code": "US",
            "telephone_number": "318-451-3541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MARGUERITE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SW3394",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "13565",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Johnson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.