The Headstrong Group, L.L.C.
Organization Active NPI Clinical Social Worker · New Roads, LA
NPI 1245535145 · NPPES record last updated Jan 24, 2011
Key facts
- NPI
- 1245535145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5242 (LA)
- Legal business name
- THE HEADSTRONG GROUP, L.L.C.
- Practice address
- 805 Parent St
New Roads, LA 70760-2215 - Phone
- (225) 439-2137
- NPI assigned
- Jan 24, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin J. Tripeaux, LCSW-BACS
- Title
- C.E.O/President
- Phone
- (225) 439-2137
Practitioners 1
-
Kevin J Tripeaux, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110316000344 | LA | Part B Supplier - Clinic/Group Practice | 3870775570 |
Receives reassigned benefits from 1 practitioner Practice locations: Baton Rouge, LA |
National Provider Directory
Locations
637 Saint Ferdinand St
Baton Rouge, LA 70802
Phone (225) 955-9527
805 Parent St
Ste 101
New Roads, LA 70760
Phone (225) 439-2137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 5242 | LA | Yes |
Addresses
Primary practice location
805 Parent St
New Roads, LA 70760-2215
Mailing address
PO Box 66695
Baton Rouge, LA 70896-6695
Other providers in New Roads, LA
- Kathleen Marie Shaw
- Southern Wellness
- Caroline Stagg
- Darica Strong
- Allison Sullivan
- The Therapy Center
- Therapeutic Refuge, LLC
- Therapy Center for Physical Rehabilitation and Wellness, LLC
- Maia Thibadeaux
- Robbin Trim
All providers in New Roads, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.