Active NPI
Stacy Susanne Nolan, MSW,GSW
- Social Worker
- Alexandria, LA
National Provider Identifier
1588800585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5343
- Practice address
- 2495 Shreveport Hwy 71 North
Alexandria, LA 71306 - Phone
- (318) 466-2260
- NPI assigned
- Dec 22, 2008
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 5343 | LA | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy 71 North
Alexandria, LA 71306
Mailing address
PO Box 69004
2495 Shreveport Hwy 71 North
Alexandria, LA 71306-9004
Phone (318) 466-2260
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 |
|---|---|---|---|
| 5343 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1588800585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69004",
"address_2": "2495 SHREVEPORT HWY 71 NORTH",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713069004",
"telephone_number": "318-466-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY 71 NORTH",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71306",
"telephone_number": "318-466-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "STACY",
"middle_name": "SUSANNE",
"name_prefix": "Miss",
"credential": "MSW,GSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-22",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "5343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.