Individual provider Active NPI

Heather Dragg Gagliano, LCSW-BACS, ACSW

  • Clinical Social Worker
  • Hammond, LA
National Provider Identifier
1376517219
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7193 Issued in LA
Practice address
620 N Morrison Blvd Ste G
Louisiana Department of Health and Hospitals
Hammond, LA 70401-2312
Phone
(985) 543-4109
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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 7193 LA Primary

Addresses

Primary practice location

620 N Morrison Blvd Ste G
Louisiana Department of Health and Hospitals
Hammond, LA 70401-2312

Mailing address

620 N Morrison Blvd Ste G
Louisiana Department of Health and Hospitals
Hammond, LA 70401-2312

Other identifiers 1

IdentifierTypeStateIssuer
7193OtherLALCSW

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
7193LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1376517219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MORRISON BLVD STE G",
            "address_2": "LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MORRISON BLVD STE G",
            "address_2": "LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012312",
            "telephone_number": "985-543-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIANO",
        "first_name": "HEATHER",
        "middle_name": "DRAGG",
        "name_prefix": "Mrs.",
        "credential": "LCSW-BACS, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "7193",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.