Doris A Small, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2069 Issued in LA

Practice address

123 Brownville Rd
Natchitoches, LA 71457-8640

Phone

(318) 646-3705

Fax

(318) 646-3705

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

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.

• Winterhaven Professional Counseling

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Natchitoches, LA
  • NPI 1154629277
  NPD Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1407064538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BROWNSVILLE RD",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "71457",
            "telephone_number": "318-646-3705",
            "fax_number": "318-646-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BROWNVILLE RD",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714578640",
            "telephone_number": "318-646-3705",
            "fax_number": "318-646-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Texas St",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714573429",
            "country_code": "US",
            "telephone_number": "318-238-8801",
            "fax_number": "318-238-8803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "DORIS",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "2069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1914002",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Simms
• Amelia Nicole Sines, MCD CCC-SLP
• Claire Singley
• Shirley Small-Rougeau, MHP
• Brian Small Sr.
• Tyrell Small
• Brittany Smith
• Carla Smith
• Gloria Smith
• Jessica Smith

• All providers in Natchitoches, LA
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.