Individual provider Active NPI

Constance B. Thibodeaux, LCSW-BACS

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1659634368
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4177 Issued in LA
Practice address
1515 Poydras St
Suite 1150
New Orleans, LA 70112-3723
Phone
(504) 658-2600
Fax
(504) 658-2680
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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 4177 LA Primary

Addresses

Primary practice location

1515 Poydras St
Suite 1150
New Orleans, LA 70112-3723

Mailing address

1515 Poydras St
Suite 1150
New Orleans, LA 70112-3723
Phone (504) 658-2600

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
4177LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City of New Orleans Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1659634368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 POYDRAS ST",
            "address_2": "SUITE 1150",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123723",
            "telephone_number": "504-658-2600",
            "fax_number": "504-658-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 POYDRAS ST",
            "address_2": "SUITE 1150",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123723",
            "telephone_number": "504-658-2600",
            "fax_number": "504-658-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "CONSTANCE",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "LCSW-BACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.