Individual provider Active NPI

James Douglas Huval, MSW, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1760563571
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11640 Issued in LA
Practice address
143 Ridgeway Drive
#219
Lafayette, LA 70503
Phone
(337) 356-1343
Fax
(888) 843-7038
NPI assigned
Oct 18, 2006
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04505200 NJ
Clinical Social Worker 1041C0700X 11640 LA Primary

Addresses

Primary practice location

143 Ridgeway Drive
#219
Lafayette, LA 70503

Mailing address

143 Ridgeway Drive
#219
Lafayette, LA 70503
Phone (337) 356-1343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180515003012 LA Practitioner - Clinical Social Worker 0446298582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

614 W Saint Mary Blvd
Lafayette, LA 70506-3538
Phone (337) 356-1343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11640LAMDClinical Social Worker
44SC04505200NJMDClinical Social Worker
5111LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southdown Consulting LLC Clinical CurrentSince Mar 1, 2018 Accepting new patients
Southdown Consulting LLC Clinical Past Accepting new patients
Mount Carmel Guild Past Accepting new patients

Locations

1424 Saint John St
Lafayette, LA 70506
Phone (337) 280-5542

143 Ridgeway Dr
Ste 219
Lafayette, LA 70503
Phone (337) 356-1343

614 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 235-5088

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1760563571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DRIVE",
            "address_2": "#219",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-356-1343",
            "fax_number": "888-843-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DRIVE",
            "address_2": "#219",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-356-1343",
            "fax_number": "888-843-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUVAL",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04505200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.