Active NPI
Kataya A Stubbs, LMSW
- Social Worker
- Baton Rouge, LA
National Provider Identifier
1861055022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15197
- Practice address
- 14635 S Harrells Ferry Rd Ste 3a
Baton Rouge, LA 70816-2960 - Phone
- (225) 803-8503
- NPI assigned
- Apr 15, 2019
- Reactivated
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 15197 | LA | Primary |
Addresses
Primary practice location
14635 S Harrells Ferry Rd Ste 3a
Baton Rouge, LA 70816-2960
Mailing address
PO Box 3811
Baton Rouge, LA 70821-3811
Phone (225) 803-8503
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15197 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1861055022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3811",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708213811",
"telephone_number": "225-803-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14635 S HARRELLS FERRY RD STE 3A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708162960",
"telephone_number": "225-803-8503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBS",
"first_name": "KATAYA",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"deactivation_date": "2020-12-29",
"reactivation_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "15197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.