Individual provider Active NPI

Maria Dolores Medina-Whitfield, MSW, LCSW

  • Clinical Social Worker
  • Slidell, LA
National Provider Identifier
1669853040
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4695 Issued in LA
Practice address
1451 Lakewood Dr
Slidell, LA 70458-3129
Phone
(504) 231-7733
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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 4695 LA Primary

Addresses

Primary practice location

1451 Lakewood Dr
Slidell, LA 70458-3129

Mailing address

1451 Lakewood Dr
Slidell, LA 70458-3129
Phone (504) 231-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729001841 LA Practitioner - Clinical Social Worker 2466745344 Reassigns benefits to 1 organization
Practice locations: Slidell, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

2750 Gause Blvd E
Ochsner Clinic Slidell
Slidell, LA 70458-4149
Phone (985) 639-3777

Hospital & facility affiliations

  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4695LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 1, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 1, 2018 Accepting new patients
Whitfield Consulting Clinical PastSince Jun 1, 2016 Accepting new patients

Locations

1051 Gause Blvd
Ste 480
Slidell, LA 70458
Phone (985) 898-7420

2750 Gause Blvd E
Slidell, LA 70461

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1669853040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 LAKEWOOD DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583129",
            "telephone_number": "504-231-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 LAKEWOOD DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583129",
            "telephone_number": "504-231-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-WHITFIELD",
        "first_name": "MARIA",
        "middle_name": "DOLORES",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.