Active NPI
Tartiana Sherrie Citizen
- Social Worker
- Grand Coteau, LA
National Provider Identifier
1477112266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14166
- Practice address
- 123 Church Street
Grand Coteau, LA 70541 - Phone
- (337) 662-3737
- NPI assigned
- Jun 6, 2019
- Last updated
- Jun 6, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14166 | LA | Primary |
Addresses
Primary practice location
123 Church Street
Grand Coteau, LA 70541
Mailing address
405 St Titus Drive
Church Point, LA 70525
Phone (337) 418-5955
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 |
|---|---|---|---|
| 14166 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1477112266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 ST TITUS DRIVE",
"city": "CHURCH POINT",
"state": "LA",
"postal_code": "70525",
"telephone_number": "337-418-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 CHURCH STREET",
"city": "GRAND COTEAU",
"state": "LA",
"postal_code": "70541",
"telephone_number": "337-662-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CITIZEN",
"first_name": "TARTIANA",
"middle_name": "SHERRIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "14166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Coteau, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.