Active NPI
Colette Pellissier, CSW
- Social Worker
- New Orleans, LA
National Provider Identifier
1184081143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13625
- Practice address
- 3801 Canal St Ste 220
New Orleans, LA 70119-6084 - Phone
- (504) 482-2735
- NPI assigned
- Jan 21, 2016
- Last updated
- Jan 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 13625 | LA | Primary |
Addresses
Primary practice location
3801 Canal St Ste 220
New Orleans, LA 70119-6084
Mailing address
409 Carrollton Ave
Metairie, LA 70005-3641
Phone (985) 249-4172
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 |
|---|---|---|---|
| 13625 | LA | MD | Social Worker |
Interoperability endpoints
- colette.pellissier.1@11331.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1184081143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 CARROLLTON AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700053641",
"telephone_number": "985-249-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 CANAL ST STE 220",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196084",
"telephone_number": "504-482-2735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLISSIER",
"first_name": "COLETTE",
"name_prefix": "Miss",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "13625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.