NPIMap

Organization Active NPI

Michele Vincent, LCSW, LLC

  • Clinical Social Worker
  • New Iberia, LA
National Provider Identifier
1851705156
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4274 Issued in LA
Legal business name
MICHELE VINCENT, LCSW, LLC
Practice address
115 Hansel St
New Iberia, LA 70560-5039
Phone
(337) 257-9333
NPI assigned
Jun 13, 2014
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Michele R Vincent, LCSWNPI 1225251986
Title
Owner
Phone
(337) 257-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4274 LA Primary

Addresses

Primary practice location

115 Hansel St
New Iberia, LA 70560-5039

Mailing address

204 Oak Hill LN
Youngsville, LA 70592-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141023001550 LA Part B Supplier - Clinic/Group Practice 8123249794 Receives reassigned benefits from 1 practitioner
Practice locations: Broussard, LA

National Provider Directory

National Provider Directory

Locations

805 Albertson Pkwy
Ste A
Broussard, LA 70518
Phone (337) 309-3338

1003 E Admiral Doyle Dr
New Iberia, LA 70560
Phone (337) 201-5051

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1851705156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 OAK HILL LN",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HANSEL ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605039",
            "telephone_number": "337-257-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE VINCENT, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-257-9333",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.