Individual provider Active NPI

Tracy Senegal

  • Social Worker
  • Breaux Bridge, LA
National Provider Identifier
1407213960
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17732 Issued in LA
Practice address
241 Anderson St
Breaux Bridge, LA 70517
Phone
(337) 316-2875
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 17732 LA Primary

Addresses

Primary practice location

241 Anderson St
Breaux Bridge, LA 70517

Mailing address

241 Anderson St
Breaux Bridge, LA 70517-5127

Other practice location 1

2525 Youree Dr
Suite 110
Shreveport, LA 71104-3671
Phone (318) 742-3408

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
I20240103004188 LA Practitioner - Clinical Social Worker 2769833771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hco Behavioral Health Services Case Manager/Care Coordinator CurrentSince Jan 1, 2024 Accepting new patients

Locations

11616 Southfork Ave
Ste 403
Baton Rouge, LA 70816
Phone (225) 261-7143

11408 Lake Sherwood Ave N
Ste A
Baton Rouge, LA 70816
Phone (225) 261-7143

128 Demanade Blvd
Ste 201
Lafayette, LA 70503
Phone (225) 261-7143

128 Demanade Blvd
Ste 105
Lafayette, LA 70503
Phone (225) 261-7143

Organizations & group practices 1

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1407213960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 ANDERSON ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705175127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 ANDERSON ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "70517",
            "telephone_number": "337-316-2875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Youree Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711043671",
            "country_code": "US",
            "telephone_number": "318-742-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENEGAL",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

Verify at the official NPI Registry.