Organization Active NPI

Patchworks Services LLC

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1760029540
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PATCHWORKS SERVICES LLC
Practice address
1010 Creswell Ave
Shreveport, LA 71101-3918
Phone
(318) 458-5235
NPI assigned
Nov 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Mr. James Arnell Ross Sr., LCSW
Title
Social Worker
Phone
(318) 458-5235

Specialties & licenses 1

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

Addresses

Primary practice location

1010 Creswell Ave
Shreveport, LA 71101-3918

Mailing address

8036 Parker PL
Shreveport, LA 71129-9706
Phone (318) 458-5235

National Provider Directory

National Provider Directory

Locations

1010 Creswell Ave
Shreveport, LA 71101
Phone (318) 458-5235

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1760029540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 PARKER PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711299706",
            "telephone_number": "318-458-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CRESWELL AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013918",
            "telephone_number": "318-458-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHWORKS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-29",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ARNELL",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "318-458-5235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "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": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.