Active NPI
Benjamin Larisey
- Clinical Social Worker
- Greensburg, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11772
- Practice address
- 1798 Highway 1042
Greensburg, LA 70441-4241 - Phone
- (225) 306-2097
- NPI assigned
- Aug 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11772 | LA | Primary |
Addresses
Primary practice location
1798 Highway 1042
Greensburg, LA 70441-4241
Mailing address
PO Box 770
Zachary, LA 70791-0770
Phone (225) 306-2000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151217001894 | LA | Practitioner - Clinical Social Worker | 6305147265 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Community Health Systems
Practice addresses (Care Compare)
6351 Main St
Zachary, LA 70791-4038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Community Health Systems | Current | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients |
Locations
490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059
30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone 22530620002045
336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2060
6351 Main St
Zachary, LA 70791
Phone (225) 306-2055
Interoperability endpoints
- benjamin.larisey@shchc.directbygreenway.com
Organizations & group practices 25
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.
-
- Federally Qualified Health Center (FQHC)
- Greensburg, LA
- NPI 1023147113
LA
-
- Federally Qualified Health Center (FQHC)
- Kentwood, LA
- NPI 1013468909
-
- Federally Qualified Health Center (FQHC)
- Independence, LA
- NPI 1043668783
-
- Federally Qualified Health Center (FQHC)
- Zachary, LA
- NPI 1083463871
-
- Federally Qualified Health Center (FQHC)
- Zachary, LA
- NPI 1124738307
-
- Federally Qualified Health Center (FQHC)
- Zachary, LA
- NPI 1245940428
-
- Federally Qualified Health Center (FQHC)
- Kentwood, LA
- NPI 1467903187
-
- Federally Qualified Health Center (FQHC)
- Kentwood, LA
- NPI 1487105102
-
- Federally Qualified Health Center (FQHC)
- Kentwood, LA
- NPI 1558812255
-
- Federally Qualified Health Center (FQHC)
- Independence, LA
- NPI 1053749739
-
- Federally Qualified Health Center (FQHC)
- Denham Springs, LA
- NPI 1053769794
-
- Federally Qualified Health Center (FQHC)
- Zachary, LA
- NPI 1093429474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1780060087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 770",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707910770",
"telephone_number": "225-306-2000",
"fax_number": "225-658-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1798 HIGHWAY 1042",
"city": "GREENSBURG",
"state": "LA",
"postal_code": "704414241",
"telephone_number": "225-306-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARISEY",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "11772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.