Organization Active NPI

Sme Coalition for Change LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1306625868
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SME COALITION FOR CHANGE LLC
Practice address
12278 Plank Rd.
Baton Rouge, LA 70811-1035
Phone
(225) 364-9428
Fax
(225) 341-6797
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Mrs. Susie Ethelin King-Duncan, LMSWNPI 1336540525
Title
Administrative Director
Phone
(210) 240-3198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

12278 Plank Rd.
Baton Rouge, LA 70811-1035

Mailing address

12278 Plank Rd.
Baton Rouge, LA 70811-1035
Phone (225) 364-9428

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2274474Sme Coalition for Change12278 Plank Rd, Baton Rouge, LA 70811Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory

Locations

12278 Plank Rd
Baton Rouge, LA 70811
Phone (225) 364-9428

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1306625868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12278 PLANK RD.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708111035",
            "telephone_number": "225-364-9428",
            "fax_number": "225-341-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12278 PLANK RD.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708111035",
            "telephone_number": "225-364-9428",
            "fax_number": "225-341-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SME COALITION FOR CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "KING-DUNCAN",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "ETHELIN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "210-240-3198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.