Organization Active NPI

Kids in Crisis Project, Inc.

  • Clinical Social Worker
  • Mandeville, LA
National Provider Identifier
1376638874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KIDS IN CRISIS PROJECT, INC.
Practice address
5200 Hwy 22
Suite 2
Mandeville, LA 70471
Phone
(985) 792-1920
Fax
(985) 792-1980
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Blake B. Bruno
Title
Director
Phone
(985) 792-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LA Primary

Addresses

Primary practice location

5200 Hwy 22
Suite 2
Mandeville, LA 70471

Mailing address

PO Box 9127
Mandeville, LA 70470
Phone (985) 792-1920

National Provider Directory

National Provider Directory

Locations

5200 Highway 22
Ste 2
Mandeville, LA 70471
Phone (985) 792-1920

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376638874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9127",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70470",
            "telephone_number": "985-792-1920",
            "fax_number": "985-792-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HWY 22",
            "address_2": "SUITE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-792-1920",
            "fax_number": "985-792-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS IN CRISIS PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "985-792-1920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.