Individual provider Active NPI

Andrew John Prejean, LCSW

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1396491908
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16390 Issued in LA
Practice address
3500 N Causeway Blvd Ste 435
Metairie, LA 70002-3541
Phone
(985) 377-9828
NPI assigned
Feb 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X LA
Clinical Social Worker 1041C0700X 16390 LA Primary

Addresses

Primary practice location

3500 N Causeway Blvd Ste 435
Metairie, LA 70002-3541

Mailing address

822 S Clearview Pkwy
Harahan, LA 70123-3401

Other identifiers 1

IdentifierTypeStateIssuer
1701033MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260216003250 LA Practitioner - Clinical Social Worker 7113407495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3198 Terrace Ave
Slidell, LA 70458-4500

PO Box 8000 Dept
Suite 207
Buffalo, NY 14267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16390LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Psychiatry, PA Clinical CurrentSince Jan 7, 2026 Accepting new patients
Village of Hope Inc CurrentSince Jan 7, 2026 Accepting new patients
Climb High, LLC. CurrentSince Apr 27, 2025 Accepting new patients

Locations

3500 N Causeway Blvd
Ste 435
Metairie, LA 70002
Phone (985) 377-9828

3198 Terrace Ave
Slidell, LA 70458
Phone (985) 277-1043

Organizations & group practices 3

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1396491908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S CLEARVIEW PKWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N CAUSEWAY BLVD STE 435",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023541",
            "telephone_number": "985-377-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "16390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701033",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.