Individual provider Active NPI

Daisy Heumann, LCSW

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1679688279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3491 Issued in LA
Practice address
315 Metairie Rd
Suite 201
Metairie, LA 70005-4300
Phone
(504) 837-1107
Fax
(985) 871-9058
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3491 LA Primary

Addresses

Primary practice location

315 Metairie Rd
Suite 201
Metairie, LA 70005-4300

Mailing address

315 Metairie Rd
Suite 201
Metairie, LA 70005-4300
Phone (504) 837-1107

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
I20051109000167 LA Practitioner - Clinical Social Worker 9830117761 Practice locations: Metairie, 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

Practice addresses (Care Compare)

315 Metairie Rd
Suite 201
Metairie, LA 70005-4337
Phone (504) 837-1107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3491LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679688279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 METAIRIE RD",
            "address_2": "SUITE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054300",
            "telephone_number": "504-837-1107",
            "fax_number": "985-871-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 METAIRIE RD",
            "address_2": "SUITE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054300",
            "telephone_number": "504-837-1107",
            "fax_number": "985-871-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUMANN",
        "first_name": "DAISY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.