Active NPI
Khianti M Wilson
- Social Worker
- New Orleans, LA
National Provider Identifier
1346694700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 251500000X
- Practice address
- 3308 Tulane Ave Ste 407
New Orleans, LA 70119-7158 - Phone
- (504) 821-6830
- NPI assigned
- Apr 21, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 251500000X | LA | Primary |
Addresses
Primary practice location
3308 Tulane Ave Ste 407
New Orleans, LA 70119-7158
Mailing address
4996 Nottingham Dr
New Orleans, LA 70127-3114
Phone (504) 259-5342
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 |
|---|---|---|---|
| 251500000X | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarke Community Services LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Orleans, LA
- NPI 1750608568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1346694700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4996 NOTTINGHAM DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273114",
"telephone_number": "504-259-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 TULANE AVE STE 407",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197158",
"telephone_number": "504-821-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KHIANTI",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "251500000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.