Individual provider Active NPI

Nathan George, LMSW

  • Clinical Social Worker
  • Crowley, LA
National Provider Identifier
1225401748
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12778 Issued in LA
Practice address
19157 Crowley Eunice Hwy
Crowley, LA 70526-0801
Phone
(337) 514-2101
NPI assigned
Nov 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 12778 LA Primary

Addresses

Primary practice location

19157 Crowley Eunice Hwy
Crowley, LA 70526-0801

Mailing address

19157 Crowley Eunice Hwy
Crowley, LA 70526-0801
Phone (337) 514-2101

Other practice location 1

114 Exchange Pl
Lafayette, LA 70503-2510
Phone (337) 291-2815

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
I20191024000666 LA Practitioner - Clinical Social Worker 4981936994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19157 Crowley Eunice Hwy
Crowley, LA 70526-0801
Phone (337) 514-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12778LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Hope and Wellness Center, LLC CurrentSince Jun 29, 2019 Accepting new patients

Locations

19157 Crowley Eunice Hwy
Crowley, LA 70526
Phone (337) 514-2101

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225401748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19157 CROWLEY EUNICE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705260801",
            "telephone_number": "337-514-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19157 CROWLEY EUNICE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705260801",
            "telephone_number": "337-514-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Exchange Pl",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032510",
            "country_code": "US",
            "telephone_number": "337-291-2815",
            "fax_number": "337-291-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "NATHAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.