Active NPI
Up Therapy, LLC
- Social Worker
- Mandeville, LA
National Provider Identifier
1215698873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- UP THERAPY, LLC
- Practice address
- 1901 Highway 190 Apt 1422
Mandeville, LA 70448-3486 - Phone
- (150) 438-8194
- NPI assigned
- Jan 6, 2022
- Last updated
- Sep 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee' Booker, LCSW, BACS
- Title
- Owner
- Phone
- (504) 388-1944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1901 Highway 190 Apt 1422
Mandeville, LA 70448-3486
Mailing address
1901 Highway 190 Apt 1422
Mandeville, LA 70448-3486
Phone (504) 388-1944
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Kenner, LA
- NPI 1013411446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1215698873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 HIGHWAY 190 APT 1422",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704483486",
"telephone_number": "504-388-1944",
"fax_number": "504-899-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HIGHWAY 190 APT 1422",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704483486",
"telephone_number": "150-438-8194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UP THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A",
"authorized_official_last_name": "BOOKER",
"authorized_official_first_name": "RENEE'",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-388-1944",
"authorized_official_credential": "LCSW, BACS"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.