Melissa T Vidrine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10553 Issued in LA

Practice address

301 Dunand St
Lafayette, LA 70501-2215

Phone

(337) 470-3362

Fax

(337) 231-0022

NPI assigned

Dec 4, 2019

Last updated

Nov 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Our Lady of Lourdes Regional Medical Center

  dba Lourdes Physician Billing Service

  • Neurology Physician
  • Lafayette, LA
  • NPI 1265593735

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1740827104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-470-3362",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DUNAND ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012215",
            "telephone_number": "337-470-3362",
            "fax_number": "337-231-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Kempton Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086547",
            "country_code": "US",
            "telephone_number": "337-945-4376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Doucet Rd Ste 226",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705033490",
            "country_code": "US",
            "telephone_number": "337-222-5757",
            "fax_number": "337-222-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDRINE",
        "first_name": "MELISSA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohini B Vicknair, PA-C
• Laquenta Victor, B.S
• Victory Addiction Recovery Center
• Carla Ann Vidrine, FNP-C
• Ethel Marie Vidrine, CRNA
• Ryan Joseph Vidrine, DC
• Viemed Clinical Services, LLC
• Lezette G. Vienne, FNP
• Ben A Vierra, DPM
• Christopher Scott Vige, B.S, CIT

• Clinical Social Worker in Lafayette, LA
• Providers in Lafayette, 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 Nov 24, 2023; 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.