Active NPI
Kalila Pellerin, LCSW
- Clinical Social Worker
- Denham Springs, LA
National Provider Identifier
1194430835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14533
- Practice address
- 11663 Hideaway St
Denham Springs, LA 70726-1101 - Phone
- (504) 450-7506
- NPI assigned
- Jan 17, 2023
- 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 | 14533 | LA | Primary |
Addresses
Primary practice location
11663 Hideaway St
Denham Springs, LA 70726-1101
Mailing address
11663 Hideaway St
Denham Springs, LA 70726-1101
Phone (504) 450-7506
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 |
|---|---|---|---|
| 14533 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1194430835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11663 HIDEAWAY ST",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707261101",
"telephone_number": "504-450-7506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11663 HIDEAWAY ST",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707261101",
"telephone_number": "504-450-7506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLERIN",
"first_name": "KALILA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "14533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
- Paige Lauren Pedersen-Muller, APRN, FNP-C
- Pediatric and Adolescent Medicine Specialists, LLC
- Pediatric Associates of Denham Springs
- Pediatrust, LLC
- Pedicons, Inc.
- Rachel Hughey Perkins, SLP
- Kevinett Perrier, MASTERS
- Dedriana Perry, N/A
- Personal Touch Activity Center
- Personal Touch Center Based Respite and Adult Day Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.