Individual provider Active NPI

Nadra Tylise Demagnus, LMSW

  • Social Worker
  • New Orleans, LA
National Provider Identifier
1851842645
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12192 Issued in LA
Practice address
1634 Annette St
New Orleans, LA 70116-1323
Phone
(504) 600-8941
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 12192 LA Primary

Addresses

Primary practice location

1634 Annette St
New Orleans, LA 70116-1323

Mailing address

1634 Annette St
New Orleans, LA 70116-1323
Phone (504) 600-8941

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
I20250527001167 LA Practitioner - Clinical Social Worker 5890214571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

2285 Benton Rd
Bossier City, LA 71111-7933
Phone (318) 423-0703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12192LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Feb 22, 2025 Accepting new patients
Childrens Hospital Medical Practice Corporation CurrentSince Mar 23, 2025 Accepting new patients

Locations

2285 Benton Rd
#207
Bossier City, LA 71111
Phone (318) 423-0703

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

210 State St
Bldg 10
New Orleans, LA 70118
Phone (504) 896-7200

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1851842645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 ANNETTE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701161323",
            "telephone_number": "504-600-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 ANNETTE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701161323",
            "telephone_number": "504-600-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAGNUS",
        "first_name": "NADRA",
        "middle_name": "TYLISE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "12192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.