Active NPI
Victoria Angel Dupre, CSW
- Social Worker
- Mandeville, LA
National Provider Identifier
1720517675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14275
- Practice address
- 2150 General Pershing St
Mandeville, LA 70448-5125 - Phone
- (985) 674-5155
- Fax
- (985) 674-5156
- NPI assigned
- Jun 5, 2017
- 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 | 14275 | LA | Primary |
Addresses
Primary practice location
2150 General Pershing St
Mandeville, LA 70448-5125
Mailing address
3024 N Palm Dr
Slidell, LA 70458-4219
Phone (985) 768-6777
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 |
|---|---|---|---|
| 14275 | LA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496620800000",
"number": "1720517675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 N PALM DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704584219",
"telephone_number": "985-768-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 GENERAL PERSHING ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704485125",
"telephone_number": "985-674-5155",
"fax_number": "985-674-5156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPRE",
"first_name": "VICTORIA",
"middle_name": "ANGEL",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2017-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "14275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.