Active NPI
Enel Wise, RSW , MSW
- Case Manager/Care Coordinator
- New Orleans, LA
National Provider Identifier
1558731232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 6310
- Practice address
- 1040 S Jefferson Davis Pkwy
New Orleans, LA 70125 - Phone
- (504) 236-8414
- NPI assigned
- Oct 7, 2015
- Last updated
- May 15, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6310 | LA | |
| Case Manager/Care Coordinator | 171M00000X | 6310 | LA | Primary |
Addresses
Primary practice location
1040 S Jefferson Davis Pkwy
New Orleans, LA 70125
Mailing address
5100 Arts St
New Orleans, LA 70122-5108
Phone (504) 236-8414
Other practice location 1
5100 Arts St
New Orleans, LA 70122-5108
Phone (504) 236-8414
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 |
|---|---|---|---|
| 6310 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1558731232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 ARTS ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701225108",
"telephone_number": "504-236-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 S JEFFERSON DAVIS PKWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70125",
"telephone_number": "504-236-8414"
}
],
"practiceLocations": [
{
"address_1": "5100 Arts St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701225108",
"country_code": "US",
"telephone_number": "504-236-8414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISE",
"first_name": "ENEL",
"credential": "RSW , MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "6310",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "6310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.