Individual provider Active NPI

Karla Sayer Wilburn, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1669249900
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5886 Issued in LA
Practice address
1412 Briarridge Dr
Baton Rouge, LA 70810-5209
Phone
(225) 939-8256
NPI assigned
Dec 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 5886 LA Primary

Addresses

Primary practice location

1412 Briarridge Dr
Baton Rouge, LA 70810-5209

Mailing address

1412 Briarridge Dr
Baton Rouge, LA 70810-5209
Phone (225) 939-8256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5886LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services Texas LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karla.wilburn.1@30520.direct.athenahealth.com

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": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1669249900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 BRIARRIDGE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105209",
            "telephone_number": "225-939-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 BRIARRIDGE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105209",
            "telephone_number": "225-939-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "KARLA",
        "middle_name": "SAYER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.