NPIMap

Individual provider Active NPI

Tanya Williams Baham, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1366739294
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7489 Issued in LA
Practice address
717 S Foster Dr
Suite 130
Baton Rouge, LA 70806-5943
Phone
(225) 939-2727
Fax
(225) 357-1584
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7489 LA Primary
School Social Worker 1041S0200X AN 464285 LA

Addresses

Primary practice location

717 S Foster Dr
Suite 130
Baton Rouge, LA 70806-5943

Mailing address

2718 Sheldon Dr
Baton Rouge, LA 70805-7342
Phone (225) 939-2727

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AN 464285LAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1366739294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 SHELDON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708057342",
            "telephone_number": "225-939-2727",
            "fax_number": "225-357-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S FOSTER DR",
            "address_2": "SUITE 130",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065943",
            "telephone_number": "225-939-2727",
            "fax_number": "225-357-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHAM",
        "first_name": "TANYA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7489",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "AN 464285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.