Donovan Lafon Horton, L.C.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C4064 Issued in MS

Practice address

1585 3Rd St
Fort Polk, LA 71459

Phone

(601) 988-7513

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1669594313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SUNDOWN TRL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123211",
            "telephone_number": "601-372-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "71459",
            "telephone_number": "601-988-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "DONOVAN",
        "middle_name": "LAFON",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C4064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CERTIFIED SOCIAL WORKER",
            "identifier": "C4064",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Hitchens, LCSW-BACS
• Kellen Glyn Hodge, RN, CCM
• Heather Hoosier, LCSW
• Alvin Maurice Horn II, PA-C
• Mallory L Horne
• Nicole Howells
• Alex Hradek, DDS
• Christopher Brian Hunt, PA
• Travis Husser, CRNA
• Ibrahim Idoh, DENTAL HYGIENE

• Social Worker in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.