NPIMap

Organization Active NPI

Specialized Social Work Solutions

  • Clinical Social Worker
  • Gonzales, LA
National Provider Identifier
1245849322
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SPECIALIZED SOCIAL WORK SOLUTIONS
Practice address
39094 N Angelle CT Ofc
Gonzales, LA 70737-6192
Phone
(225) 931-2653
Fax
(225) 677-8666
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Michelle Fuller Harris, LCSW,BACSNPI 1215453121
Title
LCSW
Phone
(225) 931-2653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

39094 N Angelle CT Ofc
Gonzales, LA 70737-6192

Mailing address

PO Box 96
Duplessis, LA 70728-0096
Phone (225) 931-2653

Other identifiers 1

IdentifierTypeStateIssuer
2486632MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL THERANEST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1245849322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "DUPLESSIS",
            "state": "LA",
            "postal_code": "707280096",
            "telephone_number": "225-931-2653",
            "fax_number": "225-677-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39094 N ANGELLE CT OFC",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376192",
            "telephone_number": "225-931-2653",
            "fax_number": "225-677-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SOCIAL WORK SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "FULLER",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "225-931-2653",
        "authorized_official_credential": "LCSW,BACS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2486632",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "THERANEST",
            "affiliation": "N",
            "endpointDescription": "WEB PORTAL",
            "address_1": "39094 N Angelle Ct Ofc",
            "city": "Gonzales",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707376192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.