Individual provider Active NPI

Mary Martha McKee, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1417558610
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
011778 Issued in LA
Practice address
1900 S Acadian Thruway
Baton Rouge, LA 70808-1665
Phone
(225) 303-8598
NPI assigned
Nov 4, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 011778 LA Primary

Addresses

Primary practice location

1900 S Acadian Thruway
Baton Rouge, LA 70808-1665

Mailing address

PO Box 4785
Baton Rouge, LA 70821-4785
Phone (225) 336-8708

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

LicenseStateTypeSpecialty
011778LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Baton Rouge, Inc. CurrentSince Nov 8, 2020 Accepting new patients
Catholic Charities PastSince Nov 8, 2020 Accepting new patients
Robelot & Lebourgeois LLC PastSince Nov 8, 2020 Accepting new patients

Locations

1900 S Acadian Thruway
Baton Rouge, LA 70808
Phone (225) 336-8700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1417558610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4785",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708214785",
            "telephone_number": "225-336-8708",
            "fax_number": "225-336-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S ACADIAN THRUWAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081665",
            "telephone_number": "225-303-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "MARY",
        "middle_name": "MARTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "011778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.