Elizabeth Moore Standifer, LCSW LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ELIZABETH MOORE STANDIFER, LCSW LLC

Practice address

4358 S Jeffrey Dr Ste a
Baton Rouge, LA 70816-4196

Phone

(225) 441-0139

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Elizabeth Moore Standifer, LCSWNPI 1942547245

Title

Owner/Manager

Phone

(225) 441-0139

Specialties & licenses 1

Addresses

Other names 1

• For Your Health LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Moore Standifer, MSW, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1942547245
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1609593128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41151",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708351151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 S JEFFREY DR STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164196",
            "telephone_number": "225-441-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12616 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708166240",
            "country_code": "US",
            "telephone_number": "225-441-0139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 State St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014541",
            "country_code": "US",
            "telephone_number": "225-441-0139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETH MOORE STANDIFER, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "STANDIFER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "225-441-0139",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Your Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Adult Mental Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.