Individual provider Active NPI

Orlise H Aubrey, LCSW

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1619135407
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3101 Issued in LA
Practice address
6000 Fairfield Ave
Shreveport, LA 71106-1916
Phone
(318) 861-4357
Fax
(318) 868-6676
NPI assigned
May 28, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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 3101 LA Primary

Addresses

Primary practice location

6000 Fairfield Ave
Shreveport, LA 71106-1916

Mailing address

6000 Fairfield Ave
Shreveport, LA 71106-1916
Phone (318) 861-4357

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
I20080911000201 LA Practitioner - Clinical Social Worker 5890866602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

951 Portland Ave
Shreveport, LA 71103-2445
Phone (318) 861-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3101LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orlise H Aubrey LLC Clinical CurrentSince Sep 11, 2008 Accepting new patients
Love Covers Mental Health Rehabilitation Agency Past Accepting new patients

Locations

2924 Knight St
Ste 414
Shreveport, LA 71105
Phone (318) 861-4357

6000 Fairfield Ave
Shreveport, LA 71106
Phone (318) 861-4357

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1619135407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061916",
            "telephone_number": "318-861-4357",
            "fax_number": "318-868-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061916",
            "telephone_number": "318-861-4357",
            "fax_number": "318-868-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBREY",
        "first_name": "ORLISE",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.