Individual provider Active NPI

Myisha Joseph, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1366998015
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10307 Issued in LA
Practice address
11931 Justice Ave Ste B
Baton Rouge, LA 70816-2597
Phone
(225) 279-6943
Fax
(225) 206-5699
NPI assigned
Aug 31, 2016
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 10307 LA Primary

Addresses

Primary practice location

11931 Justice Ave Ste B
Baton Rouge, LA 70816-2597

Mailing address

11931 Justice Ave Ste B
Baton Rouge, LA 70816-2597
Phone (225) 279-4693

Other practice location 1

2900 Westfork Dr Ste 401
Baton Rouge, LA 70827-0004
Phone (225) 279-4693

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
I20240305003143 LA Practitioner - Clinical Social Worker 3870938442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11931 Justice Ave
Suite B
Baton Rouge, LA 70816-2597
Phone (225) 279-4693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10307LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly's Loving Hands CurrentSince Dec 24, 2023 Accepting new patients

Locations

11931 Justice Ave
Ste B
Baton Rouge, LA 70816
Phone (225) 279-4693

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1366998015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11931 JUSTICE AVE STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162597",
            "telephone_number": "225-279-4693",
            "fax_number": "225-206-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11931 JUSTICE AVE STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162597",
            "telephone_number": "225-279-6943",
            "fax_number": "225-206-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Westfork Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708270004",
            "country_code": "US",
            "telephone_number": "225-279-4693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MYISHA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.