Individual provider Active NPI

Mary S Gathe, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1437594181
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9989 Issued in LA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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 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

IdentifierTypeStateIssuer
2370006MedicaidLA

Other names 1

  • Mary Smith Former name

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
I20130805000718 LA Practitioner - Clinical Social Worker 4385886365 Reassigns benefits to 2 organizations
Practice locations: Jennings, LA

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

OrganizationSpecialtyStatusNew patients
Acadiana Hope and Wellness Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince Jul 5, 2014 Accepting new patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince Jul 5, 2014 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.