Individual provider Active NPI

De'Marquane Shantelle Thomas, LCSW

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1649477217
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14324 Issued in LA
Practice address
458 Herndon St
Shreveport, LA 71101-4859
Phone
(318) 429-6938
NPI assigned
Jun 28, 2007
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14324 LA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

458 Herndon St
Shreveport, LA 71101-4859

Mailing address

9005 Letha Loop
Shreveport, LA 71118-2421
Phone (318) 469-4340

Other practice location 1

2620 Centenary Blvd
Shreveport, LA 71104-3356
Phone (318) 681-9935

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address demarquane.thomas@voanorthla.org Direct

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
I20250603002495 LA Practitioner - Clinical Social Worker 6406365295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reflect and Reframe Clinical CurrentSince Jun 8, 2025 Accepting new patients
Volunteers of America of North Louisiana CurrentSince May 21, 2025 Accepting new patients

Locations

2920 Knight St
Bldg 1
Shreveport, LA 71105
Phone (318) 429-6938

2920 Knight St
Ste 155
Shreveport, LA 71105
Phone (318) 213-1804

354 Jordan St
Shreveport, LA 71101

458 Herndon St
Shreveport, LA 71101
Phone (318) 221-5565

856 Texas Ave
Shreveport, LA 71101
Phone (318) 429-6938

Interoperability endpoints

  • Direct secure messaging: demarquane.thomas@voanorthla.org

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1649477217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 LETHA LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182421",
            "telephone_number": "318-469-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014859",
            "telephone_number": "318-429-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Centenary Blvd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711043356",
            "country_code": "US",
            "telephone_number": "318-681-9935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DE'MARQUANE",
        "middle_name": "SHANTELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14324",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "demarquane.thomas@voanorthla.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "458 Herndon St",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711014859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.