Active NPI
Tara D Bordelon, MSW, LCSW, BACS
- Social Worker
- Alexandria, LA
National Provider Identifier
1700838026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8142
- Practice address
- 4012 Parliament Dr
Alexandria, LA 71303-3017 - Phone
- (318) 290-4511
- NPI assigned
- May 16, 2006
- Last updated
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8142 | LA | Primary |
Addresses
Primary practice location
4012 Parliament Dr
Alexandria, LA 71303-3017
Mailing address
142 Pecan Row LN
Alexandria, LA 71303-8711
Phone (318) 730-9598
Other practice location 1
37 Calvert Dr
Alexandria, LA 71303-3520
Phone (318) 443-9634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8142 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TD Bordelon | Current | Accepting new patients | |
| Rhodes Pediatric Clinic | Past | Accepting new patients |
Locations
4012 Parliament Dr
Alexandria, LA 71303
Phone (318) 290-4511
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Alexandria, LA
- NPI 1215156898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1700838026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 PECAN ROW LN",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713038711",
"telephone_number": "318-730-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 PARLIAMENT DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033017",
"telephone_number": "318-290-4511"
}
],
"practiceLocations": [
{
"address_1": "37 Calvert Dr",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713033520",
"country_code": "US",
"telephone_number": "318-443-9634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORDELON",
"first_name": "TARA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "MSW, LCSW, BACS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "8142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.