Individual provider Active NPI

Brett A Siddell, LMSW

  • Social Worker
  • Chalmette, LA
National Provider Identifier
1831964790
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
18111 Issued in LA
Practice address
49 Madison Ave
Chalmette, LA 70043-4429
Phone
(504) 278-6318
Fax
(504) 278-6317
NPI assigned
Nov 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 18111 LA Primary

Addresses

Primary practice location

49 Madison Ave
Chalmette, LA 70043-4429

Mailing address

360 Oak Harbor Blvd.
Slidell, LA 70458-5702
Phone (985) 726-9333

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18111LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Health System Foundation, Inc CurrentSince Sep 13, 2023 Accepting new patients

Locations

49 Madison Ave
Chalmette, LA 70043
Phone (504) 278-6318

1100 E Judge Perez Dr
Chalmette, LA 70043
Phone (504) 301-2600

3710 Paris Rd
Chalmette, LA 70043
Phone (504) 278-6318

360 Oak Harbor Blvd
Slidell, LA 70458
Phone (985) 605-5129

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24187/brand/1/csg/1/fhir/r4

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1831964790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 OAK HARBOR BLVD.",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585702",
            "telephone_number": "985-726-9333",
            "fax_number": "985-726-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MADISON AVE",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434429",
            "telephone_number": "504-278-6318",
            "fax_number": "504-278-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDELL",
        "first_name": "BRETT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "18111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.