Active NPI
Tereal Jyvon Altemus, CCSW
- Social Worker
- Kenner, LA
National Provider Identifier
1265047823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3345 Hans Ave Apt F
Kenner, LA 70065-3857 - Phone
- (504) 858-9848
- NPI assigned
- Sep 10, 2020
- Last updated
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
3345 Hans Ave Apt F
Kenner, LA 70065-3857
Mailing address
201 Ivy CT
Reserve, LA 70084-5520
Phone (504) 858-9848
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Family Services LLC | Mental Health | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Thibodaux, LA
- NPI 1508982455
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1265047823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 IVY CT",
"city": "RESERVE",
"state": "LA",
"postal_code": "700845520",
"telephone_number": "504-858-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 HANS AVE APT F",
"city": "KENNER",
"state": "LA",
"postal_code": "700653857",
"telephone_number": "504-858-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTEMUS",
"first_name": "TEREAL",
"middle_name": "JYVON",
"name_prefix": "Ms.",
"credential": "CCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
- Allied Health Care, L.L.C. (Idaho Street Community Home)
- Allied Health Care, L.L.C. (Garden Street Community Home)
- Allied Health Care, L.L.C. (38th Street Community Home)
- Allied Health Care, L.L.C. (Gadsden Street Community Home)
- Joshua Allridge, LPC, NCC
- Marianela B. Alvarenga, LAC, CCGC
- Armando Alvarez, NNP-BC
- Amanda Ewing Haszinger, DDS
- American Current Care, P.a. (Concentra Urgent Care)
- Amerihealth Meds, L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.