Active NPI
Danitra Locks, MSW, CSW
- Clinical Social Worker
- Lafayette, LA
National Provider Identifier
1497585376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18605
- Practice address
- 1602 W Pinhook Rd
Lafayette, LA 70508-3735 - Phone
- (337) 534-0770
- NPI assigned
- Aug 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18605 | LA | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
1602 W Pinhook Rd
Lafayette, LA 70508-3735
Mailing address
104 Confederate Ave
Broussard, LA 70518-7316
Phone (337) 255-7279
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 |
|---|---|---|---|
| 18605 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Management Services, Inc. of Southwest Louisiana | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Charles, LA
- NPI 1841300225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1497585376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CONFEDERATE AVE",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "705187316",
"telephone_number": "337-255-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W PINHOOK RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083735",
"telephone_number": "337-534-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKS",
"first_name": "DANITRA",
"credential": "MSW, CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "18605",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.