Individual provider Active NPI

Darlene Brooks-Sanville, LCSW

  • Clinical Social Worker
  • Slidell, LA
National Provider Identifier
1689147928
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9148 Issued in LA
Practice address
1937 Brookter St
Slidell, LA 70461-4824
Phone
(504) 914-9772
NPI assigned
Jan 9, 2019
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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 9148 LA Primary

Addresses

Primary practice location

1937 Brookter St
Slidell, LA 70461-4824

Mailing address

1937 Brookter St
Slidell, LA 70461-4824
Phone (504) 914-9772

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
I20231128000330 LA Practitioner - Clinical Social Worker 4385098714 Reassigns benefits to 1 organization
Practice locations: Slidell, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelth, IncorporatedGroup PAC ID 9830364629, shared by 4 NPIs, 17 clinicians

Practice addresses (Care Compare)

9900 Lake Forest Blvd
F
New Orleans, LA 70127-2609
Phone (504) 939-9984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Nov 14, 2023 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

501 Louisiana Ave
Baton Rouge, LA 70802
Phone 41550438389238

Interoperability endpoints

  • Direct secure messaging: darlene.brooks-sanville.1@30520.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1689147928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 BROOKTER ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614824",
            "telephone_number": "504-914-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 BROOKTER ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614824",
            "telephone_number": "504-914-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-SANVILLE",
        "first_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.