Organization Active NPI

Malcolm J. Dugas Jr.

  • Clinical Social Worker
  • Houma, LA
National Provider Identifier
1750579306
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4615 Issued in LA
Legal business name
MALCOLM J. DUGAS JR.
Practice address
209 Bayou Gardens Blvd.
Suite K-4
Houma, LA 70364-1420
Phone
(985) 209-1974
Fax
(985) 872-4707
NPI assigned
Oct 9, 2007
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Mr. Malcolm J. Dugas Jr., MSW,LCSW,ACSWNPI 1922080902
Title
Theripist
Phone
(985) 209-1974

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 Worker 1041C0700X 4615 LA Primary

Addresses

Primary practice location

209 Bayou Gardens Blvd.
Suite K-4
Houma, LA 70364-1420

Mailing address

PO Box 20355
Houma, LA 70360-0355
Phone (985) 209-1974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000027 LA Part B Supplier - Clinic/Group Practice 6103886031 Receives reassigned benefits from 1 practitioner
Practice locations: Houma, LA

National Provider Directory

National Provider Directory

Locations

209 Bayou Gardens Blvd
Ste K4
Houma, LA 70364
Phone (985) 209-1974

8120 Main St
Ste 403
Houma, LA 70360
Phone (985) 868-3737

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1750579306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20355",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703600355",
            "telephone_number": "985-209-1974",
            "fax_number": "985-872-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BAYOU GARDENS BLVD.",
            "address_2": "SUITE K-4",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641420",
            "telephone_number": "985-209-1974",
            "fax_number": "985-872-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM J. DUGAS JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "DUGAS",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "THERIPIST",
        "authorized_official_telephone_number": "985-209-1974",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSW,LCSW,ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.