Individual provider Active NPI

Tiffany A Guitreau, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1730315219
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10575 Issued in LA
Practice address
3837 Plaza Tower Dr
Ste B
Baton Rouge, LA 70816-4354
Phone
(225) 810-3836
Fax
(225) 810-3853
NPI assigned
Jun 10, 2009
Last updated
Feb 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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
Clinical Social Worker 1041C0700X 10575 LA Primary

Addresses

Primary practice location

3837 Plaza Tower Dr
Ste B
Baton Rouge, LA 70816-4354

Mailing address

3837 Plaza Tower Dr
Ste B
Baton Rouge, LA 70816-4354
Phone (225) 810-3836

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Psychiatric Services, LLC Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1730315219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3837 PLAZA TOWER DR",
            "address_2": "STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164354",
            "telephone_number": "225-810-3836",
            "fax_number": "225-810-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3837 PLAZA TOWER DR",
            "address_2": "STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164354",
            "telephone_number": "225-810-3836",
            "fax_number": "225-810-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITREAU",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.