Individual provider Active NPI

Charlita M Patterson

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1770130189
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9618 Issued in LA
Practice address
615 Baronne St Ste 304
New Orleans, LA 70113-1054
Phone
(504) 814-8001
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 772878 NY
Clinical Social Worker 1041C0700X 9618 LA Primary

Addresses

Primary practice location

615 Baronne St Ste 304
New Orleans, LA 70113-1054

Mailing address

307 Magnolia Ridge Rd
Boutte, LA 70039-3218
Phone (504) 231-6345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20260506002570 ME Practitioner - Clinical Social Worker 9032687264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25 Cohasset LN
Cranston, RI 02921-1364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9618LAMDProfessional Counselor
772878NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Creed Group of Louisiana LLC CurrentSince Dec 29, 2019 Accepting new patients

Locations

615 Baronne St
Ste 304
New Orleans, LA 70113
Phone (504) 274-6306

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1770130189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAGNOLIA RIDGE RD",
            "city": "BOUTTE",
            "state": "LA",
            "postal_code": "700393218",
            "telephone_number": "504-231-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BARONNE ST STE 304",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131054",
            "telephone_number": "504-814-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CHARLITA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "772878",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.