Individual provider Active NPI

Alecia Hasselbeck, LCSW

  • Clinical Social Worker
  • Madisonville, LA
National Provider Identifier
1225459001
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4755 Issued in LA
Practice address
16181 Indian Point Dr
Madisonville, LA 70447
Phone
(985) 290-0707
NPI assigned
Dec 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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 4755 LA Primary

Addresses

Primary practice location

16181 Indian Point Dr
Madisonville, LA 70447

Mailing address

16181 Indian Point Dr
Madisonville, LA 70447-9573
Phone (985) 290-0707

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
I20150105000244 LA Practitioner - Clinical Social Worker 2961725619 Practice locations: Covington, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Highland Park PLZ
Covington, LA 70433-7128
Phone (985) 290-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4755LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1225459001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16181 INDIAN POINT DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479573",
            "telephone_number": "985-290-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16181 INDIAN POINT DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "70447",
            "telephone_number": "985-290-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSELBECK",
        "first_name": "ALECIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

Verify at the official NPI Registry.