Organization Active NPI

Heather Prejean LCSW, Inc

  • Clinical Social Worker
  • Crowley, LA
National Provider Identifier
1700021102
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7244 Issued in LA
Legal business name
HEATHER PREJEAN LCSW, INC
Practice address
318 E Park St
Crowley, LA 70526-2468
Phone
(337) 258-5214
Fax
(337) 785-1188
NPI assigned
Dec 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Heather R Prejean, LCSW
Title
LCSW
Phone
(337) 258-5214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 7244 LA Primary

Addresses

Primary practice location

318 E Park St
Crowley, LA 70526-2468

Mailing address

240 Thoroughbred Dr
Lafayette, LA 70507-2562
Phone (337) 258-5214

Other identifiers 1

IdentifierTypeStateIssuer
1793001MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1700021102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 THOROUGHBRED DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072562",
            "telephone_number": "337-258-5214",
            "fax_number": "337-785-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E PARK ST",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262468",
            "telephone_number": "337-258-5214",
            "fax_number": "337-785-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER PREJEAN LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-13",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "PREJEAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "337-258-5214",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1793001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.