Individual provider Active NPI

John D Nosacka, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1174718811
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3995 Issued in LA
Practice address
2751 Wooddale Blvd Ste a
Baton Rouge, LA 70805-7567
Phone
(225) 925-1906
NPI assigned
Sep 6, 2007
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3995 LA Primary

Addresses

Primary practice location

2751 Wooddale Blvd Ste a
Baton Rouge, LA 70805-7567

Mailing address

PO Box 66558
Baton Rouge, LA 70896-6558
Phone (225) 922-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506003391 LA Practitioner - Clinical Social Worker 8022178383 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Area Human Services DistrictGroup PAC ID 2769450733, shared by 3 NPIs, 30 clinicians

Practice addresses (Care Compare)

1056 E Worthy St
Suite B
Gonzales, LA 70737-4369
Phone (225) 621-5770

2751 Wooddale Blvd
Suite a
Baton Rouge, LA 70805-7567
Phone (225) 925-1906

7855 Howell Blvd
Suite 200
Baton Rouge, LA 70807-5257
Phone (225) 359-9315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Human Services District Clinical Current Accepting new patients
Capital Area Human Services District CurrentSince Apr 1, 2024 Accepting new patients
Capital Area Human Services District CurrentSince Apr 1, 2024 Accepting new patients
Capital Area Human Services District CurrentSince Apr 1, 2024 Accepting new patients
Capital Area Human Services District CurrentSince Apr 1, 2024 Accepting new patients

Locations

2751 Wooddale Blvd
Ste A
Baton Rouge, LA 70805
Phone (225) 925-1906

3843 Harding Blvd
Baton Rouge, LA 70807
Phone (225) 359-9315

7855 Howell Blvd
Ste 200
Baton Rouge, LA 70807
Phone (225) 359-9315

1056 E Worthy St
Ste B
Gonzales, LA 70737
Phone (225) 621-5770

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1174718811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66558",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966558",
            "telephone_number": "225-922-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 WOODDALE BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708057567",
            "telephone_number": "225-925-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSACKA",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.