D'Wendolyn Brown
Individual provider Active NPI Social Worker · Marrero, LA
NPI 1679922942 · NPPES record last updated Sep 12, 2022
Key facts
- NPI
- 1679922942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 11050 (LA)
- Practice address
- 5001 Westbank Expy
Marrero, LA 70072-2954 - Phone
- (504) 349-8833
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920002702 | LA | Practitioner - Clinical Social Worker | 9234514753 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Citrine LLC | Clinical | Current |
Accepting new patients |
| Jeffcare | Current |
Accepting new patients | |
| Jeffcare | Current |
Accepting new patients |
Locations
5001 Westbank Expy
#100
Marrero, LA 70072
Phone (504) 838-5215
5001 Westbank Expy
Ste 100
Marrero, LA 70072
Phone (504) 349-8708
3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215
3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 11050 | LA | Yes |
Addresses
Primary practice location
5001 Westbank Expy
Marrero, LA 70072-2954
Mailing address
22 Heritage LN
New Orleans, LA 70114-6729
Phone (504) 300-5865
Other practice location 1
2235 Poydras St Ste A
New Orleans, LA 70119-7561
Phone (504) 814-8001
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.