Individual provider Active NPI

Maurya W Glaude

  • Social Worker
  • Saint Rose, LA
National Provider Identifier
1811202427
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8879 Issued in LA
Practice address
232 Pirate Drive
St Rose, LA 70087-4442
Phone
(985) 308-6101
Fax
(985) 785-5811
NPI assigned
Aug 9, 2010
Last updated
Aug 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8879 LA Primary

Addresses

Primary practice location

232 Pirate Drive
St Rose, LA 70087-4442

Mailing address

843 Milling Ave
Luling, LA 70070-4442
Phone (985) 785-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8879LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana Past Accepting new patients

Organizations & group practices 2

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1811202427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5800",
            "fax_number": "985-785-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 PIRATE DRIVE",
            "city": "ST ROSE",
            "state": "LA",
            "postal_code": "700874442",
            "telephone_number": "985-308-6101",
            "fax_number": "985-785-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUDE",
        "first_name": "MAURYA",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "8879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Rose, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.