Active NPI
Wanda Faye Ventress, LCSW
- Social Worker
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6885
- Practice address
- 130 Chappuis Dr
Lafayette, LA 70501-3656 - Phone
- (337) 277-6611
- NPI assigned
- Oct 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6885 | LA | Primary |
| Professional Counselor | 101YP2500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 6885 | LA |
Addresses
Primary practice location
130 Chappuis Dr
Lafayette, LA 70501-3656
Mailing address
221 Verot School Rd Apt 437
Lafayette, LA 70508-8246
Phone (337) 277-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6885 | Other | LA | LA STATE BOARD OF SOCIAL WORKERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1789 S Braddock Ave
Pittsburgh, PA 15218-1881
Phone (412) 247-2310
1789 S Braddock Ave
Suite 395
Pittsburgh, PA 15218-1868
Phone (412) 247-2310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6885 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Family Practice, Inc. | Current | Accepting new patients | |
| Metro Family Practice Inc. | Past | Accepting new patients |
Locations
1789 S Braddock Ave
Ste 410
Pittsburgh, PA 15218
Phone (412) 247-2310
1789 S Braddock Ave
Ste 395
Swissvale, PA 15218
Phone (412) 241-1111
Interoperability endpoints
- wanda.ventress.1@24754.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Pittsburgh, PA
- NPI 1740283845
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1861936841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1851801377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 VEROT SCHOOL RD APT 437",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705088246",
"telephone_number": "337-277-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CHAPPUIS DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705013656",
"telephone_number": "337-277-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTRESS",
"first_name": "WANDA",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "6885",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "LA",
"license": "6885",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA STATE BOARD OF SOCIAL WORKERS",
"identifier": "6885",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.