Active NPI
Kristen Charbonnet, LMSW
- Social Worker
- Metairie, LA
National Provider Identifier
1306575428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17996
- Practice address
- 3200 Ridgelake Dr Ste 100
Metairie, LA 70002-4959 - Phone
- (504) 581-4333
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | LA | ||
| Social Worker | 104100000X | 17996 | LA | Primary |
Addresses
Primary practice location
3200 Ridgelake Dr Ste 100
Metairie, LA 70002-4959
Mailing address
234 Mulberry Dr
Metairie, LA 70005-4017
Phone (504) 421-6760
Other practice location 1
4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Phone (888) 880-9270
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 |
|---|---|---|---|
| 17996 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1306575428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 MULBERRY DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700054017",
"telephone_number": "504-421-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 RIDGELAKE DR STE 100",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700024959",
"telephone_number": "504-581-4333"
}
],
"practiceLocations": [
{
"address_1": "4201 N I 10 Service Rd W",
"address_purpose": "LOCATION",
"city": "Metairie",
"state": "LA",
"postal_code": "700066713",
"country_code": "US",
"telephone_number": "888-880-9270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARBONNET",
"first_name": "KRISTEN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "17996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.