Individual provider Active NPI

Tanisha Tarren Winfrey

  • Clinical Social Worker
  • Prairieville, LA
National Provider Identifier
1689276099
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14325 Issued in LA
Practice address
37413 E Hillside Dr
Prairieville, LA 70769-4402
Phone
(225) 485-1099
NPI assigned
Nov 10, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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 14325 LA Primary

Addresses

Primary practice location

37413 E Hillside Dr
Prairieville, LA 70769-4402

Mailing address

37413 E Hillside Dr
Prairieville, LA 70769-4402
Phone (225) 485-1099

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
I20220524000073 LA Practitioner - Clinical Social Worker 1658758156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14325LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
HIV-AIDS Alliance for Region Two Current Accepting new patients
HIV-AIDS Alliance for Region Two CurrentSince Mar 1, 2022 Accepting new patients
HIV-AIDS Alliance for Region Two PastSince Dec 24, 2023 Accepting new patients

Locations

3801 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-6620

3849 North Blvd
Baton Rouge, LA 70806
Phone (225) 342-9368

4550 North Blvd
Ste 250
Baton Rouge, LA 70806
Phone (225) 927-1269

9516 Airline Hwy
Baton Rouge, LA 70815
Phone (225) 424-1746

Interoperability endpoints

  • Direct secure messaging: tanishawinfrey@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1689276099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37413 E HILLSIDE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694402",
            "telephone_number": "225-485-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37413 E HILLSIDE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694402",
            "telephone_number": "225-485-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFREY",
        "first_name": "TANISHA",
        "middle_name": "TARREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.