Active NPI
Nicole De la Fuente, LCSW
- Clinical Social Worker
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15478
- Practice address
- 601 N Carrollton Ave
New Orleans, LA 70119-4700 - Phone
- (504) 434-2114
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15478 | LA | Primary |
Addresses
Primary practice location
601 N Carrollton Ave
New Orleans, LA 70119-4700
Mailing address
1466 Crescent Dr
New Orleans, LA 70122-2008
Phone (409) 656-4373
Other practice location 1
1466 Crescent Dr
New Orleans, LA 70122-2008
Phone (409) 656-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416004021 | LA | Practitioner - Clinical Social Worker | 6103341698 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15478 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Education Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Nicole de la Fuente LLC | Clinical | Past | Accepting new patients |
Locations
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
131 S Robertson St
Fl 10
New Orleans, LA 70112
Phone (504) 988-5433
1440 Canal St
Ste 1008
New Orleans, LA 70112
1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485
4000 Bienville St
Ste G
New Orleans, LA 70119
Phone (504) 988-0301
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- New Orleans, LA
- NPI 1790354595
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1376369264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1466 CRESCENT DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701222008",
"telephone_number": "409-656-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N CARROLLTON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701194700",
"telephone_number": "504-434-2114"
}
],
"practiceLocations": [
{
"address_1": "1466 Crescent Dr",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701222008",
"country_code": "US",
"telephone_number": "409-656-4373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA FUENTE",
"first_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "15478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.