Individual provider Active NPI

Lisa Mucker, LCSW

  • Clinical Social Worker
  • Denham Springs, LA
National Provider Identifier
1295382349
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13282 Issued in LA
Practice address
1234 Del Este Ave Ste 901
Denham Springs, LA 70726-4828
Phone
(225) 360-5372
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13282 LA Primary

Addresses

Primary practice location

1234 Del Este Ave Ste 901
Denham Springs, LA 70726-4828

Mailing address

23136 Arcwood Dr
Denham Springs, LA 70726-2323
Phone (225) 241-9954

Other practice location 1

23136 Arcwood Dr
Denham Springs, LA 70726-2323
Phone (225) 241-9954

Other practice location 2

510 N Range Ave
Denham Springs, LA 70726-2925
Phone (225) 360-5372

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13282LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1295382349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23136 ARCWOOD DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262323",
            "telephone_number": "225-241-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 DEL ESTE AVE STE 901",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264828",
            "telephone_number": "225-360-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23136 Arcwood Dr",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707262323",
            "country_code": "US",
            "telephone_number": "225-241-9954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 N Range Ave",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707262925",
            "country_code": "US",
            "telephone_number": "225-360-5372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUCKER",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.