Active NPI
Martha Ann Hersey, GSW
- Clinical Social Worker
- Bogalusa, LA
National Provider Identifier
1174706139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8432
- Practice address
- 2106 Avenue F
Bogalusa, LA 70427-5027 - Phone
- (985) 732-6655
- Fax
- (985) 732-6678
- NPI assigned
- Dec 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8432 | LA | Primary |
Addresses
Primary practice location
2106 Avenue F
Bogalusa, LA 70427-5027
Mailing address
2106 Avenue F
Bogalusa, LA 70427-5027
Phone (985) 732-6655
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 |
|---|---|---|---|
| 8432 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1174706139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 AVENUE F",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704275027",
"telephone_number": "985-732-6655",
"fax_number": "985-732-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 AVENUE F",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704275027",
"telephone_number": "985-732-6655",
"fax_number": "985-732-6678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSEY",
"first_name": "MARTHA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "GSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "8432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bogalusa, LA
- Healing Bliss Therapeutics
- Health Services Group of Louisiana, LLC
- Health Servicesgroup of Louisiana, LLC
- Richard P. Heflin, M.D.
- Karmynah Marie Wilnetta Helaire, MD, MPH
- Amy Michele Hillman, MSW, LCSW
- Sharon A Hoffman, M.D.
- Holistic Behavioral Health Services of Louisiana
- Rebecca Gay Holmes, NP
- Stephen Ryan Honeycutt, PAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.