Individual provider Active NPI

Emily Ryan Friis, LCSW

  • Clinical Social Worker
  • Alexandria, LA
National Provider Identifier
1578071197
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5411 Coliseum Blvd
Alexandria, LA 71303-3729
Phone
(318) 484-6850
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

5411 Coliseum Blvd
Alexandria, LA 71303-3729

Mailing address

4867 Highway 452
Marksville, LA 71351-3555
Phone (318) 253-4282

Other identifiers 1

IdentifierTypeStateIssuer
010824585MedicaidLA

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
I20231204001376 LA Practitioner - Clinical Social Worker 3375991268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5411 Coliseum Blvd
Alexandria, LA 71303-3729
Phone (318) 484-6850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central la Human Services District Current Accepting new patients
Central la Human Services District CurrentSince Oct 21, 2023 Accepting new patients
Central la Human Services District CurrentSince Oct 21, 2023 Accepting new patients

Locations

5411 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 484-6850

2801 Fourth St
Ste 5
Jonesville, LA 71343
Phone (318) 339-8553

105 Belview Rd
Leesville, LA 71446
Phone (337) 238-6431

694 Government St
Marksville, LA 71351
Phone (318) 253-9638

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1578071197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 HIGHWAY 452",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713513555",
            "telephone_number": "318-253-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033729",
            "telephone_number": "318-484-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIIS",
        "first_name": "EMILY",
        "middle_name": "RYAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010824585",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.