Modern Day Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MODERN DAY THERAPY LLC

Practice address

3501 Severn Ave Ste 20K
Metairie, LA 70002-3458

Phone

(504) 276-4862

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Angelique T Williams, LCSWNPI 1134594666

Title

Owner / Manager

Phone

(504) 276-4862

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelique T Williams, LCSW

  • Clinical Social Worker
  • Round Rock, TX
  • NPI 1134594666

  LA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1730546383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SEVERN AVE STE 20K",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023458",
            "telephone_number": "504-276-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SEVERN AVE STE 20K",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023458",
            "telephone_number": "504-276-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DAY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "504-276-4862",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mariam Mahmood Mohammad, PHARM-D
• Sanna Mohammad, MD

• Clinical Social Worker in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.