Active NPI
John J Trumbaturi III, LCSW, ACSW, C-SSWS
- Clinical Social Worker
- Belle Chasse, LA
National Provider Identifier
1679341622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3680
- Practice address
- 1484 Woodland Hwy
Belle Chasse, LA 70037-1672 - Phone
- (504) 595-6067
- Fax
- (504) 398-0844
- NPI assigned
- Dec 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3680 | LA | Primary |
Addresses
Primary practice location
1484 Woodland Hwy
Belle Chasse, LA 70037-1672
Mailing address
1484 Woodland Hwy
Belle Chasse, LA 70037-1672
Phone (504) 595-6067
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.eismedclaims.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3680 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plaquemines Parish School Board | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Belle Chasse, LA
- NPI 1891979589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1679341622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1484 WOODLAND HWY",
"city": "BELLE CHASSE",
"state": "LA",
"postal_code": "700371672",
"telephone_number": "504-595-6067",
"fax_number": "504-398-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1484 WOODLAND HWY",
"city": "BELLE CHASSE",
"state": "LA",
"postal_code": "700371672",
"telephone_number": "504-595-6067",
"fax_number": "504-398-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMBATURI",
"first_name": "JOHN",
"middle_name": "J",
"name_suffix": "III",
"credential": "LCSW, ACSW, C-SSWS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "3680",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.eismedclaims.com",
"affiliation": "N",
"endpointDescription": "Medicaid billing agency",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Medicaid Billing",
"address_1": "1484 Woodland Hwy",
"city": "Belle Chasse",
"state": "LA",
"country_code": "US",
"postal_code": "700371672",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belle Chasse, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.