Action Theraputic & Assessment Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7718 Issued in LA

Legal business name

ACTION THERAPUTIC & ASSESSMENT SERVICES LLC

Practice address

474 N Foster Dr
Baton Rouge, LA 70806-3561

Phone

(225) 773-1623

Fax

(225) 774-7422

NPI assigned

Dec 6, 2011

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Juan Smith, LCSWNPI 1760659551

Title

Ceo

Phone

(225) 773-1623

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

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.

• Juan Smith, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1760659551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1861760829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CHALEUR DR",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143810",
            "telephone_number": "225-773-1623",
            "fax_number": "225-774-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 N FOSTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063561",
            "telephone_number": "225-773-1623",
            "fax_number": "225-774-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION THERAPUTIC & ASSESSMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-773-1623",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.