Mia Kacmarcik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11103 Issued in LA

Practice address

924 Valmont St
Suite 303
New Orleans, LA 70115-3021

Phone

(504) 259-1952

NPI assigned

Apr 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• Direct secure messaging: mia.kacmarcik@dchcno.eclinicaldirectplus.com

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.

• Marillac Community Health Centers

  dba Daughters of Charity Health Center - Metairie

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796
  Medicare reassignment NPD
• Marillac Community Health Centers

  dba DePaul Community Health Centers - Hammond

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Marillac Community Health Centers

  dba Daughters of Charity Health Center-Algiers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1093249518
  NPD (past)
• Marillac Community Health Centers

  dba Daughters of Charity Health Center-St. Cecelia

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780935973
  NPD (past)
• Marillac Community Health Centers

  dba Daughters of Charity Health Centers

  • Clinic/Center
  • Kenner, LA
  • NPI 1831594241
  NPD (past)

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1396190377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 VALMONT ST",
            "address_2": "SUITE 303",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153021",
            "telephone_number": "504-259-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 VALMONT ST",
            "address_2": "SUITE 303",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153021",
            "telephone_number": "504-259-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACMARCIK",
        "first_name": "MIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K2 Body Sculpting LLC
• Ali E Kaabi, MD
• Cody Ryan Kaar, CRNA
• Nicole Lara Kaban, M.D.
• Ken Kankibaho Kabukuru, MS, BCBA, LBA
• Lauren Kaczka-Weiss, D.O.
• Tammye Kady
• Jennifer Kagan, LPC
• Kahak la Inc
• Heather Paige Kahn

• Clinical Social Worker in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.

Verify at the official NPI Registry.