Individual provider Active NPI

Robin Mouton, LCSW

  • Clinical Social Worker
  • New Iberia, LA
National Provider Identifier
1467787804
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4123 Issued in LA
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

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1803235MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000216 LA Practitioner - Clinical Social Worker 2961542246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57332TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince Oct 10, 2009 Accepting new patients
Iberia Comprehensive Community Health Center,Inc. Current Accepting new patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince Oct 10, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.