Individual provider Active NPI

Marleen Billiot, LCSW

  • Clinical Social Worker
  • Mandeville, LA
National Provider Identifier
1629291646
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5274 Issued in LA
Practice address
633 Asbury Drive
Suite a
Mandeville, LA 70471-6511
Phone
(504) 261-8926
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 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 5274 LA Primary

Addresses

Primary practice location

633 Asbury Drive
Suite a
Mandeville, LA 70471-6511

Mailing address

PO Box 2181
Mandeville, LA 70470-2181
Phone (504) 261-8926

Other identifiers 1

IdentifierTypeStateIssuer
1161497MedicaidLA

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
I20241016002687 LA Practitioner - Clinical Social Worker 1052843919 Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5274LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1629291646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2181",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704702181",
            "telephone_number": "504-261-8926",
            "fax_number": "985-727-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 ASBURY DRIVE",
            "address_2": "SUITE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716511",
            "telephone_number": "504-261-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLIOT",
        "first_name": "MARLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1161497",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.