Active NPI
John Melville Zufall, LCSW
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1306049150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 096818
- Practice address
- 5618 Superior Dr
Suite H
Baton Rouge, LA 70816-6065 - Phone
- (225) 281-3138
- Fax
- (225) 763-9568
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6157 | LA | |
| Clinical Social Worker | 1041C0700X | 9560 | MS | |
| Clinical Social Worker | 1041C0700X | 096818 | NY | Primary |
Addresses
Primary practice location
5618 Superior Dr
Suite H
Baton Rouge, LA 70816-6065
Mailing address
865 Bulls Head Rd
Rhinebeck, NY 12572-2954
Phone (225) 281-3138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9560 | MS | MD | Clinical Social Worker |
| 096818 | NY | MD | Clinical Social Worker |
| 6157 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | 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": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1306049150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 BULLS HEAD RD",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125722954",
"telephone_number": "225-281-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5618 SUPERIOR DR",
"address_2": "SUITE H",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166065",
"telephone_number": "225-281-3138",
"fax_number": "225-763-9568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUFALL",
"first_name": "JOHN",
"middle_name": "MELVILLE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "6157",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "9560",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "096818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.