Individual provider Active NPI

Shaleah Thompson Celestin, LCSW

  • Social Worker
  • Thibodaux, LA
National Provider Identifier
1194461145
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
16374 Issued in LA
Practice address
2580 Pineridge St
Thibodaux, LA 70301-3976
Phone
(985) 713-4459
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LA
Social Worker 104100000X 16374 LA Primary

Addresses

Primary practice location

2580 Pineridge St
Thibodaux, LA 70301-3976

Mailing address

2580 Pineridge St
Thibodaux, LA 70301-3976
Phone (985) 713-4459

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
I20260615000436 LA Practitioner - Clinical Social Worker 3971075698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

235 Civic Ctr Blvd
Houma, LA 70360

235 Civic Ctr Blvd
Houma, LA 70360-5937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16374LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Transformations Health Services PastSince Dec 10, 2023 Accepting new patients
Azalea Health Services Clinical PastSince Jul 17, 2023 Accepting new patients
Azalea Health Services Texas LLC Clinical PastSince Aug 1, 2024 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1194461145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 PINERIDGE ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013976",
            "telephone_number": "985-713-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 PINERIDGE ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013976",
            "telephone_number": "985-713-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTIN",
        "first_name": "SHALEAH",
        "middle_name": "THOMPSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "16374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.