Tameca L Polk, RSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

525 S Buchanan St
Lafayette, LA 70501-6815

Phone

(337) 237-2090

NPI assigned

May 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Extra Mile

  • Case Manager/Care Coordinator
  • Lafayette, LA
  • NPI 1336009000
  NPD (past)
• The Extra Mile, Region IV, Inc.

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1962777268
  NPD (past)

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1255868568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "LOREAUVILLE",
            "state": "LA",
            "postal_code": "705520594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S BUCHANAN ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016815",
            "telephone_number": "337-237-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "TAMECA",
        "middle_name": "L",
        "credential": "RSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "8951",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seanathan Polidore
• Shelby Polite
• Chastity Polk
• Loretta Polk, FNP
• Rynika Polk, LMSW
• Kramer Pomerenke, OTR/L
• Anita Marie Pool, LPC
• Amy Davis Poolson, AU.D., CCC-A
• Kinsley Lauren Poppa, FNP-C
• Corey Gerard Porche, LPC

• Case Manager/Care Coordinator in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.