Individual provider Active NPI

Craig Anthony Pierce Jr., LCSW

  • Clinical Social Worker
  • Mandeville, LA
National Provider Identifier
1700289659
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11319 Issued in LA
Practice address
1510 W Causeway Approach
Ste E
Mandeville, LA 70471-3022
Phone
(985) 778-3652
Fax
(985) 778-2010
NPI assigned
Oct 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M8127 MS
Clinical Social Worker 1041C0700X 11319 LA Primary

Addresses

Primary practice location

1510 W Causeway Approach
Ste E
Mandeville, LA 70471-3022

Mailing address

PO Box 2054
Mandeville, LA 70470-2054
Phone (985) 778-3652

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
I20161102001576 LA Practitioner - Clinical Social Worker 3870871452 Reassigns benefits to 1 organization
Practice locations: Mandeville, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1510 W Causeway Approach
Suite E
Mandeville, LA 70471-3022
Phone (985) 276-0915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M8127MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LB Counseling, LLC CurrentSince Jul 31, 2023 Accepting new patients
Pierce Counseling, LLC Clinical CurrentSince Mar 28, 2023 Accepting new patients

Locations

1510 W Causeway Approach
Ste E
Mandeville, LA 70471
Phone (985) 276-0915

211 W Causeway Approach
Ste A
Mandeville, LA 70448

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1700289659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2054",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704702054",
            "telephone_number": "985-778-3652",
            "fax_number": "985-778-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W CAUSEWAY APPROACH",
            "address_2": "STE E",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713022",
            "telephone_number": "985-778-3652",
            "fax_number": "985-778-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "CRAIG",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M8127",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.