Roberta Carruth, LCSW,BACS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 2090 Issued in LA

Practice address

1013 Whitney Ave
Gretna, LA 70056-8050

Phone

(504) 368-5518

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Area Human Services DistrictGroup PAC ID 2769450733, shared by 3 NPIs, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1174681852

  Clinical

  Medicare reassignment NPD
• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1710047980
  Medicare reassignment NPD
• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gonzales, LA
  • NPI 1730104654
  Medicare reassignment NPD
• Capital Area Human Services District

  • Adult Medicine Physician
  • Baton Rouge, LA
  • NPI 1609609023
  NPD
• Capital Area Human Services District

  • Substance Abuse Rehabilitation Facility
  • Baton Rouge, LA
  • NPI 1295000164
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508064494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 WHITNEY AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700568050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 WHITNEY AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700568050",
            "telephone_number": "504-368-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTH",
        "first_name": "ROBERTA",
        "name_prefix": "Ms.",
        "credential": "LCSW,BACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "LCSW 2090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1620301",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy Rae Carmouche, NNP-BC
• Dian Caronna, PT
• Carr Drugs
• Carr Drugs Compounding & Wellness
• Carr Drugs Compounding and Wellness LLC
• Cheryl Teresita Carter, LNFA
• Kelsey Carter, LMSW
• Sergio F Castillo, MD
• Michael Castine, M.D.
• Catholic Charities

• Clinical Social Worker in Gretna, LA
• Providers in Gretna, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.