Individual provider Active NPI

Tina Marie Faucheux

  • School Social Worker
  • Harvey, LA
National Provider Identifier
1255767661
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
LCSW3120 Issued in LA
Practice address
501 Manhattan
Harvey, LA 70058
Phone
(504) 544-6029
Fax
(504) 349-8686
NPI assigned
Sep 17, 2013
Last updated
Sep 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X LCSW3120 LA Primary

Addresses

Primary practice location

501 Manhattan
Harvey, LA 70058

Mailing address

501 Manhattan
Harvey, LA 70058
Phone (504) 544-6029

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

State licenses

LicenseStateTypeSpecialty
LCSW3120LAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1255767661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MANHATTAN",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "70058",
            "telephone_number": "504-544-6029",
            "fax_number": "504-349-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MANHATTAN",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "70058",
            "telephone_number": "504-544-6029",
            "fax_number": "504-349-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCHEUX",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "LCSW3120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.