Individual provider Active NPI

Wenona Jean Mellott, BSW

  • Social Worker
  • Slidell, LA
National Provider Identifier
1467004978
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
18234 Issued in LA
Practice address
350 Gateway Dr
Slidell, LA 70461-5589
Phone
(985) 707-1410
Fax
(985) 707-1415
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 18234 LA Primary

Addresses

Primary practice location

350 Gateway Dr
Slidell, LA 70461-5589

Mailing address

350 Gateway Dr
Slidell, LA 70461-5589
Phone (985) 707-1410

Other practice location 1

1211 W Vine St Ste C
Opelousas, LA 70570-3337
Phone (337) 678-3201

Other practice location 2

1405 W Pinhook Rd Ste 107
Lafayette, LA 70503-3100
Phone (337) 232-9457

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
18234LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnathan Larroquette LLC PastSince Aug 1, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1467004978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GATEWAY DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615589",
            "telephone_number": "985-707-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GATEWAY DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615589",
            "telephone_number": "985-707-1410",
            "fax_number": "985-707-1415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 W Vine St Ste C",
            "address_purpose": "LOCATION",
            "city": "Opelousas",
            "state": "LA",
            "postal_code": "705703337",
            "country_code": "US",
            "telephone_number": "337-678-3201",
            "fax_number": "337-678-3203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 W Pinhook Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705033100",
            "country_code": "US",
            "telephone_number": "337-232-9457",
            "fax_number": "337-232-9459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLOTT",
        "first_name": "WENONA",
        "middle_name": "JEAN",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "18234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.