Individual provider Active NPI

Mitzi Ehrlich

  • Clinical Social Worker
  • Gonzales, LA
National Provider Identifier
1780554204
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15825 Issued in LA
Practice address
1056 E Worthy St Ste B
Gonzales, LA 70737-4369
Phone
(225) 621-5770
Fax
(833) 606-6429
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 15825 LA Primary

Addresses

Primary practice location

1056 E Worthy St Ste B
Gonzales, LA 70737-4369

Mailing address

PO Box 66558
Baton Rouge, LA 70896-6558
Phone (225) 922-2700

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
I20260320002883 LA Practitioner - Clinical Social Worker 2961986526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Area Human Services DistrictGroup PAC ID 2769450733, 30 clinicians

Practice addresses (Care Compare)

1056 E Worthy St
Suite B
Gonzales, LA 70737-4369
Phone (225) 621-5770

2751 Wooddale Blvd
Suite a
Baton Rouge, LA 70805-7567
Phone (225) 925-1906

7855 Howell Blvd
Suite 200
Baton Rouge, LA 70807-5257
Phone (225) 359-9315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15825LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Human Services District CurrentSince Nov 18, 2025 Accepting new patients
Capital Area Human Services District PastSince Nov 18, 2025 Accepting new patients

Locations

1056 E Worthy St
Ste B
Gonzales, LA 70737
Phone (225) 621-5770

Organizations & group practices 4

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": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1780554204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66558",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966558",
            "telephone_number": "225-922-2700",
            "fax_number": "225-362-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E WORTHY ST STE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374369",
            "telephone_number": "225-621-5770",
            "fax_number": "833-606-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "MITZI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "15825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.