Individual provider Active NPI

Julie S. Plustache, LCSW

  • Clinical Social Worker
  • Slidell, LA
National Provider Identifier
1821310350
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4367 Issued in LA
Practice address
330 Oak Harbor Blvd
Suite a
Slidell, LA 70458-5702
Phone
(504) 616-5657
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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 4367 LA Primary

Addresses

Primary practice location

330 Oak Harbor Blvd
Suite a
Slidell, LA 70458-5702

Mailing address

330 Oak Harbor Blvd.
Suite a
Slidell, LA 70458-5702
Phone (504) 616-5657

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
I20141002002014 LA Practitioner - Clinical Social Worker 6305066929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2800 Gause Blvd E
Suite E
Slidell, LA 70461-4247
Phone (504) 616-5657

30701 Carter Dr
Denham Springs, LA 70726-1471

P O Box
Suite 6744
New Orleans, LA 70174

PO Box
Suite 6744
New Orleans, LA 70174-6744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4367LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Julie S. Plustache LCSW LLC Clinical CurrentSince Jul 13, 2022 Accepting new patients

Locations

330 Oak Harbor Blvd
Ste A
Slidell, LA 70458
Phone (504) 616-5657

2800 Gause Blvd E
Ste E
Slidell, LA 70461
Phone (504) 616-5657

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1821310350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 OAK HARBOR BLVD.",
            "address_2": "SUITE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585702",
            "telephone_number": "504-616-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 OAK HARBOR BLVD",
            "address_2": "SUITE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585702",
            "telephone_number": "504-616-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUSTACHE",
        "first_name": "JULIE",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.