Individual provider Active NPI

Anita Landry Obenschain, LCSW-BACS

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1790009983
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6134 Issued in LA
Practice address
4316 Cleary Ave.
Metairie, LA 70002-3108
Phone
(504) 615-7500
Fax
(504) 218-7128
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 6134 LA Primary

Addresses

Primary practice location

4316 Cleary Ave.
Metairie, LA 70002-3108

Mailing address

4316 Cleary Ave.
Metairie, LA 70002-3108
Phone (504) 615-7500

Other names 1

  • Anita Ann Landry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230807000507 FL Practitioner - Clinical Social Worker 1759742851 Reassigns benefits to 1 organization
I20230919002420 LA Practitioner - Clinical Social Worker 1759742851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6134LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services Clinical CurrentSince Sep 1, 2023 Accepting new patients
Azalea Health Services Texas LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 28, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1790009983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 CLEARY AVE.",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023108",
            "telephone_number": "504-615-7500",
            "fax_number": "504-218-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 CLEARY AVE.",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023108",
            "telephone_number": "504-615-7500",
            "fax_number": "504-218-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENSCHAIN",
        "first_name": "ANITA",
        "middle_name": "LANDRY",
        "name_prefix": "Ms.",
        "credential": "LCSW-BACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "LANDRY",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.