Individual provider Active NPI

Suzanne S Kroll, MSW, LCSW

  • Social Worker
  • New Orleans, LA
National Provider Identifier
1487958682
Registry record updated Jan 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1079 Issued in LA
Practice address
3519 Chestnut St
New Orleans, LA 70115-3612
Phone
(504) 891-5807
Fax
(504) 391-4341
NPI assigned
Jan 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1079 LA Primary

Addresses

Primary practice location

3519 Chestnut St
New Orleans, LA 70115-3612

Mailing address

3519 Chestnut St
New Orleans, LA 70115-3612
Phone (504) 891-5807

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

LicenseStateTypeSpecialty
1079LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Mental Health Center LLC Past Accepting new patients

Organizations & group practices 1

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": "1293926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293926400000",
    "number": "1487958682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 CHESTNUT ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153612",
            "telephone_number": "504-891-5807",
            "fax_number": "504-391-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 CHESTNUT ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153612",
            "telephone_number": "504-891-5807",
            "fax_number": "504-391-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "SUZANNE",
        "middle_name": "S",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-02",
        "last_updated": "2011-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.