Individual provider Active NPI

Dale Valerie Haase, LCSW

  • Clinical Social Worker
  • Greensburg, LA
National Provider Identifier
1356597249
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7745 Issued in LA
Practice address
490 Sitman Street
Greensburg, LA 70441
Phone
(225) 222-6059
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7745 LA Primary

Addresses

Primary practice location

490 Sitman Street
Greensburg, LA 70441

Mailing address

10481 Richardson Rd
Independence, LA 70443-3009
Phone (985) 606-0254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000719 LA Practitioner - Clinical Social Worker 1254490816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Providers for a Healthy Feliciana, IncGroup PAC ID 1052220985, 42 clinicians

Practice addresses (Care Compare)

27124 Hwy 42
Springfield, LA 70462-7979
Phone (225) 395-8022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7745LAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Providers for a Healthy Feliciana, Inc. CurrentSince Jan 18, 2010 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Jan 18, 2010 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc. Current Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc Past Accepting new patients
Primary Care Providers for a Healthy Feliciana Inc Past Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc Past Accepting new patients

Locations

455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 570-2300

11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111

10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877

28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356

54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000

3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227

3170 Church St
Slaughter, LA 70777
Phone (225) 683-1370

Interoperability endpoints

  • Direct secure messaging: dale.haase.p1@direct.rkmprimarycare.nextgenshare.com

Organizations & group practices 6

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1356597249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10481 RICHARDSON RD",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704433009",
            "telephone_number": "985-606-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 SITMAN STREET",
            "city": "GREENSBURG",
            "state": "LA",
            "postal_code": "70441",
            "telephone_number": "225-222-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "DALE",
        "middle_name": "VALERIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, LA

Sources for this page

Verify at the official NPI Registry.