Active NPI
Marguerite Wilcox, LCSW
- Clinical Social Worker
- Fort Johnson, LA
National Provider Identifier
1174005078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13565
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW3394 | Other | FL | LICENSE |
| 13565 | Other | LA | LCSW |
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 |
|---|---|---|---|
| SW3394 | FL | MD | Clinical Social Worker |
| 13565 | LA | MD | Clinical 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.