Active NPI
Center for Advocating Restoring and Empowering Counseling LLC
- Clinical Social Worker
- Shreveport, LA
National Provider Identifier
1689341539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CENTER FOR ADVOCATING RESTORING AND EMPOWERING COUNSELING LLC
- Practice address
- 5902 Buncombe Rd
Shreveport, LA 71129 - Phone
- (318) 200-0866
- NPI assigned
- Aug 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Ward
- Title
- Ceo/ LCSW
- Phone
- (318) 200-0866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5902 Buncombe Rd
Shreveport, LA 71129
Mailing address
1651 E 70TH St # 379
Shreveport, LA 71105-5115
Phone (318) 200-0866
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Shreveport, LA
- NPI 1184098311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1689341539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 E 70TH ST # 379",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055115",
"telephone_number": "318-200-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5902 BUNCOMBE RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71129",
"telephone_number": "318-200-0866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR ADVOCATING RESTORING AND EMPOWERING COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-27",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "CEO/ LCSW",
"authorized_official_telephone_number": "318-200-0866"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.