Individual provider Active NPI

Mandi Jo Melton, LCSW

  • Clinical Social Worker
  • Crowley, LA
National Provider Identifier
1568685121
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7242 Issued in LA
Practice address
318 E Park St
Crowley, LA 70526-2468
Phone
(337) 280-0539
Fax
(337) 785-1188
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7242 LA Primary

Addresses

Primary practice location

318 E Park St
Crowley, LA 70526-2468

Mailing address

137 Timberland Ridge Blvd
Lafayette, LA 70507-2743
Phone (337) 280-0539

Other identifiers 1

IdentifierTypeStateIssuer
1549185MedicaidLA

Other names 1

  • Mandi Jo Laper Former name

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
I20050314000186 LA Practitioner - Clinical Social Worker 7113972159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

215 Rue Fontaine
Lafayette, LA 70508-5742
Phone (337) 280-0539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mandi Laper, LCSW, Inc Clinical CurrentSince Jul 16, 2008 Accepting new patients
Southwest Ambulatory Behavioral Services, Inc. Past Accepting new patients

Locations

318 E Park St
Crowley, LA 70526
Phone (337) 258-5214

215 Rue Fontaine
Lafayette, LA 70508
Phone (337) 577-5203

Organizations & group practices 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1568685121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 TIMBERLAND RIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072743",
            "telephone_number": "337-280-0539",
            "fax_number": "337-785-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E PARK ST",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262468",
            "telephone_number": "337-280-0539",
            "fax_number": "337-785-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "MANDI",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1549185",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "LAPER",
            "middle_name": "JO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.