Individual provider Active NPI

Benjamin Larisey

  • Clinical Social Worker
  • Greensburg, LA
National Provider Identifier
1780060087
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11772 Issued in LA
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

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 22 clinicians

Practice addresses (Care Compare)

6351 Main St
Zachary, LA 70791-4038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems CurrentSince Sep 29, 2015 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 PastSince Dec 6, 2022 Accepting new patients
Southeast Community Health Systems PastSince May 19, 2024 Accepting new patients
Southeast Community Health Systems PastSince Sep 12, 2021 Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems PastSince Dec 6, 2022 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

  • Direct secure messaging: 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.

View all 25

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

Verify at the official NPI Registry.