Asia Wong, LCSW

Individual provider Active NPI Clinical Social Worker · New Orleans, LA

NPI 1720539422 · NPPES record last updated Oct 18, 2016

Key facts

NPI
1720539422
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
11205 (LA)
Practice address
6221 S Claiborne Ave
# 200
New Orleans, LA 70125-4142
Phone
(319) 621-0012
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11205LAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11205 LA Yes

Addresses

Primary practice location

6221 S Claiborne Ave
# 200
New Orleans, LA 70125-4142

Mailing address

3059 Saint Ann St
New Orleans, LA 70119-4053
Phone (319) 621-0012

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 18, 2016.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1720539422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 SAINT ANN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194053",
            "telephone_number": "319-621-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 S CLAIBORNE AVE",
            "address_2": "# 200",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254142",
            "telephone_number": "319-621-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ASIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

All providers in New Orleans, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.