Individual provider Active NPI

Nicole De la Fuente, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1376369264
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15478 Issued in LA
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

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416004021 LA Practitioner - Clinical Social Worker 6103341698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15478LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Current Accepting new patients
Administrators of the Tulane Education Fund CurrentSince Mar 31, 2025 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Mar 31, 2025 Accepting new patients
Nicole de la Fuente LLC Clinical PastSince Dec 1, 2024 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.

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

Verify at the official NPI Registry.