Active NPI
Artronise Dedeaux, LCSW
- School Social Worker
- Harahan, LA
National Provider Identifier
1508206400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 4243
- Practice address
- 822 S Clearview Pkwy
Harahan, LA 70123-3401 - Phone
- (504) 371-1392
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4243 | LA | |
| Clinical Social Worker | 1041C0700X | 4243 | LA | |
| School Social Worker | 1041S0200X | |||
| School Social Worker | 1041S0200X | 4243 | LA | Primary |
Addresses
Primary practice location
822 S Clearview Pkwy
Harahan, LA 70123-3401
Mailing address
4300 Patriot St
Marrero, LA 70072-4305
Phone (504) 371-1392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701033 | Medicaid | LA |
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 |
|---|---|---|---|
| 4243 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1508206400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 PATRIOT ST",
"city": "MARRERO",
"state": "LA",
"postal_code": "700724305",
"telephone_number": "504-371-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 S CLEARVIEW PKWY",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701233401",
"telephone_number": "504-371-1392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEDEAUX",
"first_name": "ARTRONISE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "4243",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "4243",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "LA",
"license": "4243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1701033",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harahan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.