The Therapeutic & Restorative Village

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE THERAPEUTIC & RESTORATIVE VILLAGE

Practice address

820 Jordan St Ste 315C
Shreveport, LA 71101-4512

Phone

(318) 607-7839

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Fiona Francis, LCSW

Title

Ceo

Phone

(318) 607-7839

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fiona Benjamin, LCSW

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1386017614
  NPD (past)

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574985600000",
    "number": "1619537651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 MANSFIELD RD APT 164",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183145",
            "telephone_number": "318-607-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 315C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014512",
            "telephone_number": "318-607-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPEUTIC & RESTORATIVE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-11-29",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "FIONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-607-7839",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.