Active NPI
Matthew Wayne Comeaux, MSW, CSW
- Social Worker
- Harahan, LA
National Provider Identifier
1285343392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17578
- Practice address
- 990 N Corporate Dr Ste 101
Harahan, LA 70123-3331 - Phone
- (504) 349-8833
- NPI assigned
- Nov 17, 2022
- Last updated
- Nov 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 17578 | LA | Primary |
Addresses
Primary practice location
990 N Corporate Dr Ste 101
Harahan, LA 70123-3331
Mailing address
2704 Victoria Dr
Marrero, LA 70072-6042
Phone (504) 338-4395
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17578 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1285343392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 VICTORIA DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "700726042",
"telephone_number": "504-338-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 N CORPORATE DR STE 101",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701233331",
"telephone_number": "504-349-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMEAUX",
"first_name": "MATTHEW",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "MSW, CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "17578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harahan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.