Brian Bode, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5979 Issued in LA

Practice address

136 S Roman St
4TH Floor
New Orleans, LA 70112-3095

Phone

(504) 903-5315

Fax

(504) 903-0013

NPI assigned

May 25, 2007

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

State licenses

Practice roles

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.

• Louisiana State University School of Medicine in New Orleans Faculty G

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1477582526
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1295946853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 BAUDIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197004",
            "telephone_number": "504-903-5315",
            "fax_number": "504-903-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S ROMAN ST",
            "address_2": "4TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123095",
            "telephone_number": "504-903-5315",
            "fax_number": "504-903-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODE",
        "first_name": "BRIAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045331",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Bobo
• David Charles Bock, PT
• Shirisha Bodana, D.O.
• Dareon Bodden-Jeffries
• Sarah Bodden, LPC
• Victoria Erin Bode, LOTR
• Joseph Jeffery Bodenmiller, LCSW
• Brittany Knudsen Bodet, CPNP-AC
• Colleen Frantz Bodet, MN, RN, FNP
• Calli Bodin, APRN, NNP-BC

• Clinical Social Worker in New Orleans, LA
• Providers in New Orleans, 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 Nov 7, 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.