Individual provider Active NPI

Wanda Faye Ventress, LCSW

  • Social Worker
  • Lafayette, LA
National Provider Identifier
1851801377
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6885 Issued in LA
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

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6885OtherLALA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921002991 PA Practitioner - Clinical Social Worker 3870947096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Metro Family Practice, Inc.Group PAC ID 9032027727, 16 clinicians

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

LicenseStateTypeSpecialty
6885LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Family Practice, Inc. CurrentSince Jul 24, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.