Active NPI
Mary S Gathe, LCSW
- Clinical Social Worker
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9989
- Practice address
- 1004 Surrey St
Lafayette, LA 70501-6143 - Phone
- (337) 456-6768
- Fax
- (337) 456-8690
- NPI assigned
- May 8, 2013
- Last updated
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 9989 | LA | Primary |
Addresses
Primary practice location
1004 Surrey St
Lafayette, LA 70501-6143
Mailing address
806 Jefferson Ter Unit 218
New Iberia, LA 70560-5727
Phone (337) 365-4945
Other practice location 1
1610 Evangeline Rd
Jennings, LA 70546-3922
Phone (337) 824-2829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2370006 | Medicaid | LA |
Other names 1
- Mary Smith
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1004 Surrey St
Suite 1
Lafayette, LA 70501-6143
Phone (337) 365-4945
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadiana Hope and Wellness Center, LLC | Current | Accepting new patients | |
| Iberia Comprehensive Community Health Center, Inc. | Current | Accepting new patients | |
| Iberia Comprehensive Community Health Center, Inc. | Current | Accepting new patients | |
| Iberia Comprehensive Community Health Center,Inc. | Current | Accepting new patients | |
| Southwest Louisiana Veterans Home | Past | Accepting new patients | |
| Iberia Comprehensive Community Health Center Inc | Past | Accepting new patients |
Locations
1009 Charity St
Abbeville, LA 70510
Phone (337) 893-3443
19157 Crowley Eunice Hwy
Crowley, LA 70526
Phone (337) 514-2101
1002 12th St
Lafayette, LA 70501
Phone (337) 534-0107
1004 Surrey St
Lafayette, LA 70501
Phone (337) 456-6768
1004 Surrey St
Ste 1
Lafayette, LA 70501
Phone (337) 365-4945
298 Nolan Trce
Leesville, LA 71446
Phone (337) 392-0110
1050 N Robinson St
Many, LA 71449
Phone (318) 256-8150
567 Walker St
Merryville, LA 70653
Phone (337) 365-4945
806 Jefferson Ter
New Iberia, LA 70560
Phone (337) 365-4945
806 Jefferson Ter
Unit 218
New Iberia, LA 70560
317 Dernier St
Saint Martinville, LA 70582
Phone (337) 342-2566
Interoperability endpoints
- mary.smith@icchc.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- New Iberia, LA
- NPI 1922046549
-
- Community/Behavioral Health Agency
- Crowley, LA
- NPI 1194182774
-
dba DeRidder Community Health Center
- Federally Qualified Health Center (FQHC)
- Deridder, LA
- NPI 1457235368
-
dba St. Martin Parish Community Health Center
- Federally Qualified Health Center (FQHC)
- Saint Martinville, LA
- NPI 1821286899
-
- Federally Qualified Health Center (FQHC)
- Lafayette, LA
- NPI 1568731602
-
- Skilled Nursing Facility
- Jennings, LA
- NPI 1306948682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1437594181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 JEFFERSON TER UNIT 218",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705605727",
"telephone_number": "337-365-4945",
"fax_number": "337-376-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 SURREY ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705016143",
"telephone_number": "337-456-6768",
"fax_number": "337-456-8690"
}
],
"practiceLocations": [
{
"address_1": "1610 Evangeline Rd",
"address_purpose": "LOCATION",
"city": "Jennings",
"state": "LA",
"postal_code": "705463922",
"country_code": "US",
"telephone_number": "337-824-2829",
"fax_number": "337-824-2581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATHE",
"first_name": "MARY",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "9989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2370006",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "SMITH",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lafayette, LA
- Gastroenterology Center of Louisiana, Inc.
- Gastroenterology Clinic of Acadiana (GCA Infusion and Pharmaceutical)
- Gastroenterology Clinic of Acadiana LLC
- Gastroenterology Clinics of Louisiana (Gastro Louisiana)
- Trevor Austin Gates, APRN, FNP-C
- Joan G Gatte, APRN
- Reynold Louis Gaubert Jr., DMD
- Pratima Gaulee, M.D
- Chakshu Gautam, M.D.
- Ariadne A Gauthier, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.