Luis O Campos

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3860 Issued in LA

Practice address

5760 Monticello Drive
St Gabriel, LA 70776

Phone

(225) 642-9676

Fax

(225) 642-9696

NPI assigned

Dec 27, 2006

Last updated

Jun 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Catholic Charities

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1275808602
  NPD (past)
• Robelot & Lebourgeois LLC

  • Community/Behavioral Health Agency
  • Gonzales, LA
  • NPI 1659677391
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1295890408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11054 E VIEUX DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708155285",
            "telephone_number": "225-231-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 MONTICELLO DRIVE",
            "city": "ST GABRIEL",
            "state": "LA",
            "postal_code": "70776",
            "telephone_number": "225-642-9676",
            "fax_number": "225-642-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "LUIS",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117226",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Rose Barry, PTA
• Shambrel Nicole Bates, FNP-C
• Beyond Infinity Transportation LLC
• Alexi Adams Breaux, PT
• Wesley Brignac Jr., DDS
• P Danielle Causey, D.D.S.
• Complete Care of St Gabriel LLC
• Maureen Coughlin
• Brenda J Durham, LCSW
• East Iberville Elem/High School Base Health Clinic (St Gabriel Health Clinic Inc)

• Clinical Social Worker in Saint Gabriel, LA
• Providers in Saint Gabriel, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.