Active NPI
Nicole Crowden
- Clinical Social Worker
- Chalmette, LA
National Provider Identifier
1225459696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11118
- Practice address
- 908 W Judge Perez Dr
Suite D
Chalmette, LA 70043-4773 - Phone
- (504) 715-1856
- Fax
- (504) 210-0527
- NPI assigned
- Jan 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11118 | LA | Primary |
Addresses
Primary practice location
908 W Judge Perez Dr
Suite D
Chalmette, LA 70043-4773
Mailing address
3701 Red Cypress Dr
New Orleans, LA 70131-8317
Phone (504) 715-1856
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11118 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azalea Health Services | Clinical | Current | Accepting new patients |
| Azalea Health Services Texas LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Lafayette, LA
- NPI 1043999170
-
- Clinical Social Worker
- New Braunfels, TX
- NPI 1326871807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1225459696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 RED CYPRESS DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701318317",
"telephone_number": "504-715-1856",
"fax_number": "504-210-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 W JUDGE PEREZ DR",
"address_2": "SUITE D",
"city": "CHALMETTE",
"state": "LA",
"postal_code": "700434773",
"telephone_number": "504-715-1856",
"fax_number": "504-210-0527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDEN",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "11118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chalmette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.