Individual provider Active NPI

Sheila Love, MHP

  • Clinical Social Worker
  • Lake Providence, LA
National Provider Identifier
1447620919
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9096 Issued in LA
Practice address
1700 Lake St
Lake Providence, LA 71254-5208
Phone
(318) 559-0551
Fax
(318) 559-0538
NPI assigned
Sep 28, 2015
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 9096 LA Primary
Case Manager/Care Coordinator 171M00000X 9096 LA
Case Manager/Care Coordinator 171M00000X LA

Addresses

Primary practice location

1700 Lake St
Lake Providence, LA 71254-5208

Mailing address

1700 Lake St
Lake Providence, LA 71254-5208
Phone (318) 559-0551

Other practice location 1

1705 Felicia Ave
Tallulah, LA 71282-8203
Phone (318) 574-1232

Other identifiers 1

IdentifierTypeStateIssuer
3362848MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.seasidehc.com

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
9096LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Development Center, LLC PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 1

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1447620919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LAKE ST",
            "city": "LAKE PROVIDENCE",
            "state": "LA",
            "postal_code": "712545208",
            "telephone_number": "318-559-0551",
            "fax_number": "318-559-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LAKE ST",
            "city": "LAKE PROVIDENCE",
            "state": "LA",
            "postal_code": "712545208",
            "telephone_number": "318-559-0551",
            "fax_number": "318-559-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Felicia Ave",
            "address_purpose": "LOCATION",
            "city": "Tallulah",
            "state": "LA",
            "postal_code": "712828203",
            "country_code": "US",
            "telephone_number": "318-574-1232",
            "fax_number": "318-574-8646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "SHEILA",
        "credential": "MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9096",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "9096",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3362848",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.seasidehc.com",
            "affiliation": "N",
            "address_1": "1705 Felecia Avenue",
            "city": "Tallulah",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Providence, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.