Individual provider Active NPI

Michelle Antoinette Marsaw

  • Case Manager/Care Coordinator
  • Lake Charles, LA
National Provider Identifier
1235978966
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1925 Enterprise Blvd
Lake Charles, LA 70601-6371
Phone
(337) 429-5129
Fax
(337) 214-2077
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1925 Enterprise Blvd
Lake Charles, LA 70601-6371

Mailing address

1925 Enterprise Blvd
Lake Charles, LA 70601-6371
Phone (337) 429-5129

Other names 1

  • Michelle Antoinette Harden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Counseling Services CurrentSince May 26, 2024 Accepting new patients

Locations

1925 Enterprise Blvd
Lake Charles, LA 70601
Phone (337) 429-5129

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1235978966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ENTERPRISE BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016371",
            "telephone_number": "337-429-5129",
            "fax_number": "337-214-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ENTERPRISE BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016371",
            "telephone_number": "337-429-5129",
            "fax_number": "337-214-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSAW",
        "first_name": "MICHELLE",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HARDEN",
            "middle_name": "ANTOINETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.