Active NPI
Danna Dyess Bordelon, M.S.W., L.C.S.W.
- Clinical Social Worker
- Pineville, LA
National Provider Identifier
1528089380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7596
- Practice address
- 2495 Shreveport Hwy
Pineville, LA 71360-4044 - Phone
- (318) 473-0010
- Fax
- (318) 483-5036
- NPI assigned
- Jul 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7596 | LA | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy
Pineville, LA 71360-4044
Mailing address
PO Box 69004
Alexandria, LA 71306-9004
Phone (318) 473-0010
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 |
|---|---|---|---|
| 7596 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Veterans Affairs Medical Center | 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.
-
- Long Term Care Hospital
- Pineville, LA
- NPI 1063594885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528089380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69004",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713069004",
"telephone_number": "318-473-0010",
"fax_number": "318-483-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "318-473-0010",
"fax_number": "318-483-5036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDELON",
"first_name": "DANNA",
"middle_name": "DYESS",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "7596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.