Active NPI
Dawn Emb Sahualla, LCSW
- Clinical Social Worker
- Lake Charles, LA
National Provider Identifier
1417567041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9017
- Practice address
- 2440 Crawford Dr
Lake Charles, LA 70611-4654 - Phone
- (337) 405-8984
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9017 | LA | Primary |
Addresses
Primary practice location
2440 Crawford Dr
Lake Charles, LA 70611-4654
Mailing address
2440 Crawford Dr
Lake Charles, LA 70611-4654
Phone (337) 405-8984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9017 | Other | LA | LICENSING BOARD |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1417567041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 CRAWFORD DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706114654",
"telephone_number": "337-405-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 CRAWFORD DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706114654",
"telephone_number": "337-405-8984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHUALLA",
"first_name": "DAWN",
"middle_name": "EMB",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "9017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSING BOARD",
"identifier": "9017",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Ryse Chiropractic LLC
- Richard Anthony Sachitano, M.D.
- Safe Trans Medical Transportation, LLC
- Sage Specialty Hospital of Lake Charles, LLC
- Sahara Emergency Physicians, LLC
- Saint Nicholas Center for Early Intervention
- Saint Nicholas Center for Early Intervention
- Saint Raphael'S Refuge, LLC
- Richard G Saloom, MD
- Salt and Light Collaborative, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.