Active NPI
Michelle B. Andrus, LCSW
- Clinical Social Worker
- Opelousas, LA
National Provider Identifier
1386799013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1303
- Practice address
- Opelousas Mental Health Clinic
220 South Market Street
Opelousas, LA 70570-5140 - Phone
- (337) 948-0226
- Fax
- (337) 948-0399
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1303 | LA | Primary |
Addresses
Primary practice location
Opelousas Mental Health Clinic
220 South Market Street
Opelousas, LA 70570-5140
Mailing address
119 Rue Colombe
Carencro, LA 70520-6204
Phone (337) 896-6490
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1303 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Department of Health, Department of Health and Hospitals | Past | Accepting new patients | |
| Department of Health and Hospitals | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, LA
- NPI 1023162096
-
- Skilled Nursing Facility
- New Orleans, LA
- NPI 1730674557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386799013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 RUE COLOMBE",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705206204",
"telephone_number": "337-896-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OPELOUSAS MENTAL HEALTH CLINIC",
"address_2": "220 SOUTH MARKET STREET",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705705140",
"telephone_number": "337-948-0226",
"fax_number": "337-948-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRUS",
"first_name": "MICHELLE",
"middle_name": "B.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "1303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.