Individual provider Active NPI

J Chris Barrilleaux, LCSW

  • Clinical Social Worker
  • Thibodaux, LA
National Provider Identifier
1205059631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7333 Issued in LA
Practice address
921 Caroline St
Thibodaux, LA 70301-2809
Phone
(985) 803-1000
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7333 LA Primary

Addresses

Primary practice location

921 Caroline St
Thibodaux, LA 70301-2809

Mailing address

921 Caroline St
Thibodaux, LA 70301-2809
Phone (985) 803-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2020 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7333LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Alternatives Past Accepting new patients
Clinical Consultants Clinical Past Accepting new patients
Outpatient Strategies LLC Clinical Past Accepting new patients

Organizations & group practices 3

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205059631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CAROLINE ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012809",
            "telephone_number": "985-803-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CAROLINE ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012809",
            "telephone_number": "985-803-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRILLEAUX",
        "first_name": "J",
        "middle_name": "CHRIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.