NPIMap

Organization Active NPI

Tides Center for Wellness LLC

  • Social Worker
  • Metairie, LA
National Provider Identifier
1316609787
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
TIDES CENTER FOR WELLNESS LLC
Practice address
804 N Causeway Blvd
Metairie, LA 70001-5364
Phone
(504) 330-4560
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Catherine Patteson Poehling, LCSWNPI 1124572334
Title
Owner
Phone
(504) 330-4560

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

804 N Causeway Blvd
Metairie, LA 70001-5364

Mailing address

804 N Causeway Blvd
Metairie, LA 70001-5364

National Provider Directory

National Provider Directory

Locations

804 N Causeway Blvd
Metairie, LA 70001
Phone (504) 330-4560

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": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1316609787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015364",
            "telephone_number": "504-330-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDES CENTER FOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "PATTESON POEHLING",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-330-4560",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "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 Oct 12, 2021; 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.