Individual provider Active NPI

Roshonda Tolbert, PSYD, LCSW-BACS

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1205345469
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10965 Issued in LA
Practice address
9511 Chef Menteur Hwy Ste 109-192
New Orleans, LA 70127-4265
Phone
(504) 300-9925
Fax
(855) 967-2973
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 10965 LA Primary

Addresses

Primary practice location

9511 Chef Menteur Hwy Ste 109-192
New Orleans, LA 70127-4265

Mailing address

9511 Chef Menteur Hwy Ste 109
New Orleans, LA 70127-4266
Phone (504) 300-9925

Other practice location 1

12A Westbank Expy Ste 111
Gretna, LA 70053-3659
Phone (504) 509-4800

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Through, LLC Clinical CurrentSince Mar 16, 2021 Accepting new patients

Locations

9511 Chef Menteur Hwy
Ste 109
New Orleans, LA 70127
Phone (504) 300-9925

9511 Chef Menteur Hwy
Ste 109192
New Orleans, LA 70127
Phone (504) 300-9925

Organizations & group practices 1

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1205345469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 CHEF MENTEUR HWY STE 109",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701274266",
            "telephone_number": "504-300-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 CHEF MENTEUR HWY STE 109-192",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701274265",
            "telephone_number": "504-300-9925",
            "fax_number": "855-967-2973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12A Westbank Expy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700533659",
            "country_code": "US",
            "telephone_number": "504-509-4800",
            "fax_number": "504-509-4802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "ROSHONDA",
        "credential": "PSYD, LCSW-BACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10965",
            "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 May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.