Maria Klette-Ketchum, MSW, LCSW, ACSW,SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1895 Issued in LA

Practice address

1350 Park Dr
Ste a
Mandeville, LA 70471-3205

Phone

(985) 624-2266

Fax

(985) 898-0945

NPI assigned

Aug 27, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1125100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1447243159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76230 HIGHWAY 1083",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704354050",
            "telephone_number": "985-624-2266",
            "fax_number": "985-898-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 PARK DR",
            "address_2": "STE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713205",
            "telephone_number": "985-624-2266",
            "fax_number": "985-898-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETTE-KETCHUM",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, ACSW,SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhys Kinchen, MD
• Mia King, LPC
• Wendy W King, PT
• Desiree Kirk
• Shannon Marie Klapatch- Francis, LPC, NCC, NCSC
• Andrea Naul Kliebert, LPC
• Ronald John Kluchin, MD
• Candice Leduff Knight, MD
• Emily Carissa Knight, NP-C
• William Kenneth Knight Jr., LPC

• Clinical Social Worker in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.

Verify at the official NPI Registry.