Individual provider Active NPI

Steven K Bordelon, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1225189855
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3238 Issued in LA
Practice address
8017 Jefferson Hwy
Suite B-4
Baton Rouge, LA 70809-1681
Phone
(225) 932-0052
Fax
(225) 932-0053
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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 3238 LA Primary

Addresses

Primary practice location

8017 Jefferson Hwy
Suite B-4
Baton Rouge, LA 70809-1681

Mailing address

8017 Jefferson Hwy
Suite B-4
Baton Rouge, LA 70809-1681
Phone (225) 932-0052

Other identifiers 2

IdentifierTypeStateIssuer
72-1427612OtherFEDERAL ID #
F3519OtherLABLUE CROSS PROVIDER #

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
I20040925000112 LA Practitioner - Clinical Social Worker 6305815564 Practice locations: Baton Rouge, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8017 Jefferson Hwy
Suite B4
Baton Rouge, LA 70809-1681
Phone (225) 932-0052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3238LAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1225189855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 JEFFERSON HWY",
            "address_2": "SUITE B-4",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091681",
            "telephone_number": "225-932-0052",
            "fax_number": "225-932-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8017 JEFFERSON HWY",
            "address_2": "SUITE B-4",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091681",
            "telephone_number": "225-932-0052",
            "fax_number": "225-932-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "STEVEN",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID #",
            "identifier": "72-1427612",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "F3519",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.