Individual provider Active NPI

Asiyah Hankins Degruy, LCSW

  • Clinical Social Worker
  • Chalmette, LA
National Provider Identifier
1508017609
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8204 Issued in LA
Practice address
2626 Charles Dr
Chalmette, LA 70043-3779
Phone
(504) 278-4006
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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 8204 LA Primary

Addresses

Primary practice location

2626 Charles Dr
Chalmette, LA 70043-3779

Mailing address

PO Box 1604
Chalmette, LA 70044-1604
Phone (504) 278-4006

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
I20250220003940 LA Order and Referring Only - Clinical Social Worker 3274859178

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Health LouisianaGroup PAC ID 3678484276, shared by 50 NPIs, 42 clinicians

Practice addresses (Care Compare)

501 Robert Blvd
Slidell, LA 70458-1667
Phone (866) 530-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TGC Learning Center Past Accepting new patients
Northshore Family Counseling, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: asiyah.degruy.1@11331.direct.athenahealth.com

Organizations & group practices 2

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1508017609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700441604",
            "telephone_number": "504-278-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CHARLES DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700433779",
            "telephone_number": "504-278-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRUY",
        "first_name": "ASIYAH",
        "middle_name": "HANKINS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

Verify at the official NPI Registry.