Individual provider Active NPI

Hailey Lynn Latour Verrett, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1649933581
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11824 Issued in LA
Practice address
101 Black Water River Dr
Lafayette, LA 70508-1722
Phone
(337) 322-0669
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 11824 LA Primary

Addresses

Primary practice location

101 Black Water River Dr
Lafayette, LA 70508-1722

Mailing address

101 Black Water River Dr
Lafayette, LA 70508-1722
Phone (337) 322-0669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11824LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1649933581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BLACK WATER RIVER DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705081722",
            "telephone_number": "337-322-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BLACK WATER RIVER DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705081722",
            "telephone_number": "337-322-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRETT",
        "first_name": "HAILEY",
        "middle_name": "LYNN LATOUR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.