Active NPI
Shad M Duplessis, LCSW
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1174664916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7612
- Practice address
- 8313 Picardy Ave
Baton Rouge, LA 70809-3689 - Phone
- (225) 906-4097
- Fax
- (225) 650-2357
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 7612 | LA | Primary |
Addresses
Primary practice location
8313 Picardy Ave
Baton Rouge, LA 70809-3689
Mailing address
8313 Picardy Ave
Baton Rouge, LA 70809-3689
Phone (225) 906-4097
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7612 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1174664916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8313 PICARDY AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093689",
"telephone_number": "225-906-4097",
"fax_number": "225-650-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8313 PICARDY AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093689",
"telephone_number": "225-906-4097",
"fax_number": "225-650-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPLESSIS",
"first_name": "SHAD",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "7612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.