Individual provider Active NPI

Misty Leigh Pardee, MSW, LCSW

  • Clinical Social Worker
  • Franklinton, LA
National Provider Identifier
1790942324
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9776 Issued in LA
Practice address
1505 Washington St
Franklinton, LA 70438-2138
Phone
(985) 237-4880
Fax
(985) 231-6481
NPI assigned
May 21, 2008
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 9776 LA Primary

Addresses

Primary practice location

1505 Washington St
Franklinton, LA 70438-2138

Mailing address

1505 Washington St
Franklinton, LA 70438-2138
Phone (985) 237-4880

Other identifiers 1

IdentifierTypeStateIssuer
1710164MedicaidLA

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
I20150128001959 LA Practitioner - Clinical Social Worker 7517281363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1505 Washington St
Franklinton, LA 70438-2138
Phone (985) 237-4880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Approaches, LLC CurrentSince Sep 24, 2014 Accepting new patients

Locations

1505 Washington St
Franklinton, LA 70438
Phone (985) 237-4880

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1790942324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WASHINGTON ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704382138",
            "telephone_number": "985-237-4880",
            "fax_number": "985-231-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WASHINGTON ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704382138",
            "telephone_number": "985-237-4880",
            "fax_number": "985-231-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDEE",
        "first_name": "MISTY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710164",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

Verify at the official NPI Registry.