Individual provider Active NPI

Shirley D. Falvey, LCSW

  • Clinical Social Worker
  • Minden, LA
National Provider Identifier
1508138074
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14225 Issued in LA
Practice address
502 Nella St
Minden, LA 71055-3034
Phone
(318) 371-3001
NPI assigned
Jan 31, 2012
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C6791 MS
Clinical Social Worker 1041C0700X 14225 LA Primary

Addresses

Primary practice location

502 Nella St
Minden, LA 71055-3034

Mailing address

502 Nella St
Minden, LA 71055-3034
Phone (318) 371-3001

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
I20171019002962 LA Practitioner - Clinical Social Worker 4486920352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

502 Nella St
Minden Behavioral Health Clinic
Minden, LA 71055-3034
Phone (318) 371-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C6791MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Lousiana Human Services District CurrentSince Sep 13, 2017 Accepting new patients
Northwest Lousiana Human Services District CurrentSince Sep 13, 2017 Accepting new patients
Northwest Lousiana Human Services District Current Accepting new patients

Locations

502 Nella St
Minden, LA 71055
Phone (318) 371-1958

1310 N Hearne Ave
Shreveport, LA 71107
Phone (318) 676-5111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1508138074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 NELLA ST",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553034",
            "telephone_number": "318-371-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 NELLA ST",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553034",
            "telephone_number": "318-371-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALVEY",
        "first_name": "SHIRLEY",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6791",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.