Active NPI
Robin Mouton, LCSW
- Clinical Social Worker
- New Iberia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4123
- Practice address
- 806 Jefferson Ter
New Iberia, LA 70560 - Phone
- (337) 365-4945
- NPI assigned
- Oct 2, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 57332 | TX | |
| Clinical Social Worker | 1041C0700X | 4123 | LA | Primary |
Addresses
Primary practice location
806 Jefferson Ter
New Iberia, LA 70560
Mailing address
806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 365-4945
Other practice location 1
1002 12th St
Lafayette, LA 70501-6224
Phone (337) 534-0107
Other practice location 2
567 Walker St
Merryville, LA 70653-3040
Phone (337) 825-1728
Other practice location 3
1004 Surrey St
Lafayette, LA 70501-6143
Phone (337) 456-6768
Other practice location 4
317 Dernier St
Saint Martinville, LA 70582-3809
Phone (337) 342-2566
Other practice location 5
1050 N Robinson St
Many, LA 71449-3536
Phone (318) 256-8150
Other practice location 6
1009 Charity St
Abbeville, LA 70510-5302
Phone (337) 893-3443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1803235 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091217000216 | LA | Practitioner - Clinical Social Worker | 2961542246 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57332 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iberia Comprehensive Community Health Center, Inc. | Current | Accepting new patients | |
| Iberia Comprehensive Community Health Center,Inc. | Current | Accepting new patients | |
| Iberia Comprehensive Community Health Center, Inc. | Current | Accepting new patients |
Locations
1009 Charity St
Abbeville, LA 70510
Phone (337) 893-3443
1004 Surrey St
Lafayette, LA 70501
Phone (337) 456-6768
1002 12th St
Lafayette, LA 70501
Phone (337) 534-0107
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
317 Dernier St
Saint Martinville, LA 70582
Phone (337) 342-2566
Interoperability endpoints
- robin.mouton@icchc.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- New Iberia, LA
- NPI 1922046549
LA
-
- Federally Qualified Health Center (FQHC)
- Many, LA
- NPI 1114341666
-
- Federally Qualified Health Center (FQHC)
- Deridder, LA
- NPI 1457235368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1467787804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 JEFFERSON TER",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705605727",
"telephone_number": "337-365-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 JEFFERSON TER",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70560",
"telephone_number": "337-365-4945"
}
],
"practiceLocations": [
{
"address_1": "1002 12th St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705016224",
"country_code": "US",
"telephone_number": "337-534-0107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "567 Walker St",
"address_purpose": "LOCATION",
"city": "Merryville",
"state": "LA",
"postal_code": "706533040",
"country_code": "US",
"telephone_number": "337-825-1728",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1004 Surrey St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705016143",
"country_code": "US",
"telephone_number": "337-456-6768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "317 Dernier St",
"address_purpose": "LOCATION",
"city": "Saint Martinville",
"state": "LA",
"postal_code": "705823809",
"country_code": "US",
"telephone_number": "337-342-2566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 N Robinson St",
"address_purpose": "LOCATION",
"city": "Many",
"state": "LA",
"postal_code": "714493536",
"country_code": "US",
"telephone_number": "318-256-8150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1009 Charity St",
"address_purpose": "LOCATION",
"city": "Abbeville",
"state": "LA",
"postal_code": "705105302",
"country_code": "US",
"telephone_number": "337-893-3443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUTON",
"first_name": "ROBIN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "57332",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "4123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1803235",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.