Individual provider Active NPI

Joel A Vanderlick, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1497005292
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4711 Issued in LA
Practice address
2601 Tulane Ave
Suite 500
New Orleans, LA 70119-7462
Phone
(504) 821-2601
Fax
(504) 267-3014
NPI assigned
Sep 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4711 LA Primary

Addresses

Primary practice location

2601 Tulane Ave
Suite 500
New Orleans, LA 70119-7462

Mailing address

2601 Tulane Ave
Suite 500
New Orleans, LA 70119-7462
Phone (504) 821-2601

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)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1497005292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 TULANE AVE",
            "address_2": "SUITE 500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197462",
            "telephone_number": "504-821-2601",
            "fax_number": "504-267-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 TULANE AVE",
            "address_2": "SUITE 500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197462",
            "telephone_number": "504-821-2601",
            "fax_number": "504-267-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLICK",
        "first_name": "JOEL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4711",
            "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 Sep 19, 2012; 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.