Individual provider Active NPI

Kristi Sirran Delahoussaye, LCSW

  • Clinical Social Worker
  • New Iberia, LA
National Provider Identifier
1730712381
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11474 Issued in LA
Practice address
6811 Highway 90 E Lot 5
New Iberia, LA 70560-9006
Phone
(337) 519-3346
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11474 LA Primary

Addresses

Primary practice location

6811 Highway 90 E Lot 5
New Iberia, LA 70560-9006

Mailing address

6811 Highway 90 E Lot 5
New Iberia, LA 70560-9006
Phone (337) 519-3346

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

LicenseStateTypeSpecialty
11474LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1730712381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 HIGHWAY 90 E LOT 5",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705609006",
            "telephone_number": "337-519-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 HIGHWAY 90 E LOT 5",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705609006",
            "telephone_number": "337-519-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAHOUSSAYE",
        "first_name": "KRISTI",
        "middle_name": "SIRRAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.