Organization Active NPI

Susan Falcon, LCSW, L.L.C.

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1730477050
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 2697 Issued in LA
Legal business name
SUSAN FALCON, LCSW, L.L.C.
Practice address
3350 Ridgelake Dr
Ste. 213
Metairie, LA 70002-3836
Phone
(504) 458-6256
Fax
(504) 309-7845
NPI assigned
Jul 20, 2011
Last updated
Jul 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Falcon, LCSWNPI 1023022589
Title
Provider
Phone
(504) 458-6256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW 2697 LA Primary

Addresses

Primary practice location

3350 Ridgelake Dr
Ste. 213
Metairie, LA 70002-3836

Mailing address

PO Box 6744
New Orleans, LA 70174-6744
Phone (504) 309-7844

Other identifiers 1

IdentifierTypeStateIssuer
1821411MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110913000743 LA Part B Supplier - Clinic/Group Practice 5294906707 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

3350 Ridgelake Dr
Ste 213
Metairie, LA 70002
Phone (504) 458-6256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1730477050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6744",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701746744",
            "telephone_number": "504-309-7844",
            "fax_number": "504-309-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RIDGELAKE DR",
            "address_2": "STE. 213",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023836",
            "telephone_number": "504-458-6256",
            "fax_number": "504-309-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN FALCON, LCSW, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "504-458-6256",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "LCSW 2697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821411",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.