Organization Active NPI

Social Work Services of la, LLC

  • Clinical Social Worker
  • New Iberia, LA
National Provider Identifier
1679788673
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
278 Issued in LA
Legal business name
SOCIAL WORK SERVICES OF LA, LLC
Practice address
203 W Main St
Suite a
New Iberia, LA 70560-3797
Phone
(225) 324-6975
Fax
(225) 667-2559
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
William E Whitfield, LSCW
Title
Social Worker, Ceo
Phone
(225) 324-6975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 278 LA Primary

Addresses

Primary practice location

203 W Main St
Suite a
New Iberia, LA 70560-3797

Mailing address

203 W Main St
Suite a
New Iberia, LA 70560-3797
Phone (225) 324-6975

Other identifiers 2

IdentifierTypeStateIssuer
1629197MedicaidLA
1195219MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Social Work Services of la Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

203 W Main St
Ste A
New Iberia, LA 70560
Phone (225) 324-6975

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1679788673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "address_2": "SUITE A",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603797",
            "telephone_number": "225-324-6975",
            "fax_number": "225-667-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "address_2": "SUITE A",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603797",
            "telephone_number": "225-324-6975",
            "fax_number": "225-667-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL WORK SERVICES OF LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOCIAL WORKER, CEO",
        "authorized_official_telephone_number": "225-324-6975",
        "authorized_official_credential": "LSCW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629197",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1195219",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.