Individual provider Active NPI

Erin Macinnes, MA, MSW, LCSW

  • Clinical Social Worker
  • Lake Charles, LA
National Provider Identifier
1720457310
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11377 Issued in LA
Practice address
3221 Ryan St Ste D
Lake Charles, LA 70601-8780
Phone
(337) 439-3344
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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 11377 LA Primary

Addresses

Primary practice location

3221 Ryan St Ste D
Lake Charles, LA 70601-8780

Mailing address

3221 Ryan St
Ste D
Lake Charles, LA 70601-8780
Phone (504) 319-6569

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
I20170128000113 LA Practitioner - Clinical Social Worker 5991087827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners in Physical TherapyGroup PAC ID 3274543293, 9 clinicians

Practice addresses (Care Compare)

3501 5TH Ave
Suite C2
Lake Charles, LA 70607-2155
Phone (337) 439-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11377LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Physical Therapy Clinical CurrentSince Sep 27, 2016 Accepting new patients

Locations

3501 5th Ave
Ste C2
Lake Charles, LA 70607
Phone (337) 439-3344

3221 Ryan St
Ste D
Lake Charles, LA 70601
Phone (337) 439-3344

Organizations & group practices 1

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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1720457310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 RYAN ST",
            "address_2": "STE D",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018780",
            "telephone_number": "504-319-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 RYAN ST STE D",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018780",
            "telephone_number": "337-439-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINNES",
        "first_name": "ERIN",
        "credential": "MA, MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.