Active NPI
Mickey C Dupont, MSW, GSW
- Social Worker
- La Place, LA
National Provider Identifier
1366699902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10094
- Practice address
- 421 W Airline Hwy Ste L
La Place, LA 70068-3820 - Phone
- (985) 651-7064
- Fax
- (985) 651-7076
- NPI assigned
- Aug 26, 2008
- Last updated
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 10094 | LA | Primary |
Addresses
Primary practice location
421 W Airline Hwy Ste L
La Place, LA 70068-3820
Mailing address
421 W Airline Hwy Ste L
La Place, LA 70068-3820
Phone (985) 651-7064
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 |
|---|---|---|---|
| 10094 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1366699902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W AIRLINE HWY STE L",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700683820",
"telephone_number": "985-651-7064",
"fax_number": "985-651-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W AIRLINE HWY STE L",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700683820",
"telephone_number": "985-651-7064",
"fax_number": "985-651-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPONT",
"first_name": "MICKEY",
"middle_name": "C",
"credential": "MSW, GSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "10094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Place, LA
- Dylan Dunford, DPT
- Lenetra Dunham
- Derryl Ivan Dunn Sr.
- Vanessa Marketter Dunn
- Kimberly Dupont, MCD, CCC-SLP
- Duracare Counseling & Consulting Services, LLC
- Dynamic Counseling and Consulting Services
- East Bank Gastroenterology
- East Bank Gastroenterology, LLC
- Egan Healthcare Corporation (Egan - Ochsner Home Health River Parishes)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.