Organization Active NPI

Amanda R. Dupre LCSW LLC

  • Clinical Social Worker
  • Crowley, LA
National Provider Identifier
1366849390
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4830 Issued in LA
Legal business name
AMANDA R. DUPRE LCSW LLC
Practice address
1325 Wright Ave
Suite E
Crowley, LA 70526-2226
Phone
(337) 384-8876
Fax
(337) 384-8876
NPI assigned
Nov 19, 2014
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Amanda Dupre, LCSWNPI 1689897589
Title
Owner
Phone
(337) 384-8876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4830 LA Primary

Addresses

Primary practice location

1325 Wright Ave
Suite E
Crowley, LA 70526-2226

Mailing address

PO Box 465
Crowley, LA 70527-0465
Phone (337) 384-8876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150108001556 LA Part B Supplier - Clinic/Group Practice 6002139565 Receives reassigned benefits from 1 practitioner
Practice locations: Crowley, LA

National Provider Directory

National Provider Directory
Tax ID family
Amanda R Dupre LCSW LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1366849390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705270465",
            "telephone_number": "337-384-8876",
            "fax_number": "337-783-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE",
            "address_2": "SUITE E",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262226",
            "telephone_number": "337-384-8876",
            "fax_number": "337-384-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA R. DUPRE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "DUPRE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-384-8876",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.