Individual provider Active NPI

Thomas Dale Houdek, LCSW

  • Clinical Social Worker
  • Marksville, LA
National Provider Identifier
1760452346
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4437 Issued in LA
Practice address
406 N Monroe St
Marksville, LA 71351-2356
Phone
(318) 253-1773
Fax
(318) 253-1773
NPI assigned
Jan 25, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4437 LA
Clinical Social Worker 1041C0700X 4437 LA Primary

Addresses

Primary practice location

406 N Monroe St
Marksville, LA 71351-2356

Mailing address

117 Wedgewood Dr
Lafayette, LA 70503-3235
Phone (318) 359-5858

Other practice location 1

3405 Moss St
Lafayette, LA 70507-6113
Phone (337) 261-2300

Other identifiers 1

IdentifierTypeStateIssuer
203519878OtherLAEMPLOYER IDENTIFICATION N

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4437LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Cutting Edge CMHC Inc Past Accepting new patients
Rehabilitation Services of Acadiana, LLC Past Accepting new patients
Cedar Investments LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760452346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WEDGEWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033235",
            "telephone_number": "318-359-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N MONROE ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512356",
            "telephone_number": "318-253-1773",
            "fax_number": "318-253-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 Moss St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705076113",
            "country_code": "US",
            "telephone_number": "337-261-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUDEK",
        "first_name": "THOMAS",
        "middle_name": "DALE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4437",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION N",
            "identifier": "203519878",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.