Individual provider Active NPI

Robin Pannagl, LCSW-BACS

  • School Social Worker
  • Belle Chasse, LA
National Provider Identifier
1265201016
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
6612 Issued in LA
Practice address
1484 Woodland Hwy
Belle Chasse, LA 70037-1672
Phone
(504) 595-6400
NPI assigned
Dec 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 6612 LA Primary

Addresses

Primary practice location

1484 Woodland Hwy
Belle Chasse, LA 70037-1672

Mailing address

1484 Woodland Hwy
Belle Chasse, LA 70037-1672
Phone (504) 595-6400

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
6612LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Plaquemines Parish School Board PastSince Dec 24, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1265201016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 WOODLAND HWY",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371672",
            "telephone_number": "504-595-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 WOODLAND HWY",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371672",
            "telephone_number": "504-595-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNAGL",
        "first_name": "ROBIN",
        "credential": "LCSW-BACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "6612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Chasse, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.