Individual provider Active NPI

Charlotte Yvette Degree, BSW, RSW

  • Case Manager/Care Coordinator
  • Metairie, LA
National Provider Identifier
1568528958
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
9409 Issued in LA
Practice address
2121 Ridgelake Dr
Suite 206
Metairie, LA 70001-2080
Phone
(504) 832-5123
Fax
(504) 838-5714
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 9409 LA Primary

Addresses

Primary practice location

2121 Ridgelake Dr
Suite 206
Metairie, LA 70001-2080

Mailing address

3300 W Esplanade Ave S
Suite 213
Metairie, LA 70002-7406
Phone (504) 838-5716

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

LicenseStateTypeSpecialty
9409LAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1568528958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W ESPLANADE AVE S",
            "address_2": "SUITE 213",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027406",
            "telephone_number": "504-838-5716",
            "fax_number": "504-838-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 RIDGELAKE DR",
            "address_2": "SUITE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012080",
            "telephone_number": "504-832-5123",
            "fax_number": "504-838-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREE",
        "first_name": "CHARLOTTE",
        "middle_name": "YVETTE",
        "name_prefix": "Miss",
        "credential": "BSW, RSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "9409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.