Active NPI
Sheila Love, MHP
- Clinical Social Worker
- Lake Providence, LA
National Provider Identifier
1447620919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9096
- 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, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3362848 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9096 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Development Center, LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tallulah, LA
- NPI 1538236328
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
- Komfort Keepers Sitting Services (Komfort Keepers Sitting Service)
- Kay B Kovac
- Ingrid Dandrea Lockhart, BS
- Louis Leonard Minsky Inc (Minskys Drug Store)
- Louis Leonard Minsky Inc (Minskys Drug Store (LTC))
- Loving Touch Personal Care Service Inc
- Loving Touch Personal Care Service Inc
- Loving Touch Personal Care Service, Inc
- Loving Touch Personal Care Services Inc
- Elisha Lucas
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.