Individual provider Active NPI

Martha Murray

  • Clinical Social Worker
  • Lake Charles, LA
National Provider Identifier
1487106530
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8658 Issued in LA
Practice address
2000 Opelousas St
Lake Charles, LA 70601-2641
Phone
(337) 439-9983
Fax
(337) 439-9983
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8658 LA
Clinical Social Worker 1041C0700X 8658 LA Primary

Addresses

Primary practice location

2000 Opelousas St
Lake Charles, LA 70601-2641

Mailing address

2000 Opelousas St
Lake Charles, LA 70601-2641
Phone (337) 439-9983

Other practice location 1

2110 Oak Park Blvd
Lake Charles, LA 70601-7864
Phone (337) 802-3279

Other identifiers 1

IdentifierTypeStateIssuer
2528637MedicaidLA

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
I20180411002460 LA Practitioner - Clinical Social Worker 4981967627 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8658LAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Health Services LLC Mental Health CurrentSince Oct 1, 2022 Accepting new patients
Swla Center for Health Services CurrentSince Jun 1, 2020 Accepting new patients
Swla Center for Health Services Current Accepting new patients

Locations

526 Crowley Rayne Hwy
Crowley, LA 70526
Phone (337) 783-1791

500 Patterson St
Lafayette, LA 70501
Phone (337) 769-9451

2000 Opelousas St
Lake Charles, LA 70601
Phone (318) 439-9983

112 N Sixth St
Oberlin, LA 70655
Phone (337) 639-2281

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1487106530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012641",
            "telephone_number": "337-439-9983",
            "fax_number": "337-310-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012641",
            "telephone_number": "337-439-9983",
            "fax_number": "337-439-9983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017864",
            "country_code": "US",
            "telephone_number": "337-802-3279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MARTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8658",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2528637",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.