Bridgette M Mouton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13360 Issued in LA

Practice address

1304 Bertrand Dr Ste B3
Lafayette, LA 70506-9102

Phone

(337) 962-1987

Fax

(844) 364-1683

NPI assigned

May 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Abc Rehab & Chiropractic LLC

  • Chiropractor
  • Lafayette, LA
  • NPI 1932563806
  NPD (past)
• Leon C. Winters LCSW, LLC

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1194247734
  NPD (past)

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669038402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE B3",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069102",
            "telephone_number": "337-962-1987",
            "fax_number": "844-364-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR STE B3",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069102",
            "telephone_number": "337-962-1987",
            "fax_number": "844-364-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTON",
        "first_name": "BRIDGETTE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Leon@WintersMHC.com",
            "affiliation": "Y",
            "endpointDescription": "Group Practice",
            "affiliationName": "Leon C. Winters LCSW, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1304 Bertrand Dr Ste B3",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705069102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ainsley Ann Mottet
• Mike Mounir, MD
• Elias Moussaly, M.D.
• Mouton
• Merlantha Lynnette Mouton-Morgan
• Brooke Mouton
• Carly Danielle Mouton
• Chiara D Mouton
• Debra Mouton
• Jakara Mouton

• Clinical Social Worker in Lafayette, LA
• Providers in Lafayette, 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 27, 2023; 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.