Active NPI
Ava Manouchehri, LMSW
- Social Worker
- River Ridge, LA
National Provider Identifier
1487217840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9071
- Practice address
- 8724 Southdown LN
River Ridge, LA 70123-3634 - Phone
- (985) 908-6764
- Fax
- (888) 740-5909
- NPI assigned
- Apr 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 9071 | LA | Primary |
Addresses
Primary practice location
8724 Southdown LN
River Ridge, LA 70123-3634
Mailing address
8724 Southdown LN
River Ridge, LA 70123-3634
Phone (985) 908-6764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3393905 | Medicaid | LA |
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 |
|---|---|---|---|
| 9071 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1487217840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8724 SOUTHDOWN LN",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701233634",
"telephone_number": "985-908-6764",
"fax_number": "888-740-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8724 SOUTHDOWN LN",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701233634",
"telephone_number": "985-908-6764",
"fax_number": "888-740-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOUCHEHRI",
"first_name": "AVA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-20",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "9071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3393905",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in River Ridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.