Louis C Walthall, Lcswr, Casac

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

051661 Issued in NY

Legal business name

LOUIS C WALTHALL, LCSWR, CASAC

Practice address

10 Lodge PL
West Babylon, NY 11704-1608

Phone

(631) 491-5720

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Louis C Walthall, LCSWR, CASACNPI 1558502880

Title

Licensed Clinical Social Worker

Phone

(631) 491-5720

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis Walthall, LCSWR, CASAC

  • Clinical Social Worker
  • Ronkonkoma, NY
  • NPI 1558502880

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1679074074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LODGE PL",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117041608",
            "telephone_number": "631-491-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LODGE PL",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117041608",
            "telephone_number": "631-491-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS C WALTHALL, LCSWR, CASAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "WALTHALL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "631-491-5720",
        "authorized_official_credential": "LCSWR, CASAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "9438",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "051661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Nicole Lombardi, MPS
• Long Island Medical Arts PLLC
• Long Island Medical Associates Inc
• Long Island Medical Care Services PC
• Teresa Lyn Longo, LMHC
• Gracemarie Fong Louis, LCAT, ATR-BC
• Stephanie J Louis
• Tamar Louis
• Ebony Lisana Luca
• Luxottica of America Inc

• Clinical Social Worker in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.