Individual provider Active NPI

Keiasha Andera Hypolite, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1366018798
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10597 Issued in LA
Practice address
220 W Willow St BLDG a
Lafayette, LA 70501-2837
Phone
(337) 262-5616
Fax
(337) 262-1310
NPI assigned
May 27, 2021
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 10597 LA Primary

Addresses

Primary practice location

220 W Willow St BLDG a
Lafayette, LA 70501-2837

Mailing address

PO Box 61024
Lafayette, LA 70596-1024
Phone (337) 849-9232

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

LicenseStateTypeSpecialty
10597LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire & Focus, LLC Clinical Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1366018798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61024",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705961024",
            "telephone_number": "337-849-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W WILLOW ST BLDG A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012837",
            "telephone_number": "337-262-5616",
            "fax_number": "337-262-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYPOLITE",
        "first_name": "KEIASHA",
        "middle_name": "ANDERA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.