Individual provider Active NPI

Cristy R. James, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1871637066
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9469 Issued in LA
Practice address
302 Dulles Dr
Crisis and Referral
Lafayette, LA 70506-3008
Phone
(337) 262-4170
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9469 LA
Clinical Social Worker 1041C0700X 9469 LA Primary

Addresses

Primary practice location

302 Dulles Dr
Crisis and Referral
Lafayette, LA 70506-3008

Mailing address

302 Dulles Drive
Lafayette, LA 70506-3008
Phone (337) 262-4142

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
I20140321001210 LA Practitioner - Clinical Social Worker 1759512452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4109

611 W Admiral Doyle Dr
New Iberia, LA 70560-6408
Phone (337) 373-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9469LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Area Human Services District Current Accepting new patients
Acadiana Area Human Services District CurrentSince Feb 11, 2017 Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals CurrentSince Oct 18, 2013 Accepting new patients
Acadiana Area Human Services District CurrentSince Feb 11, 2017 Accepting new patients
Department of Health and Hospitals CurrentSince Oct 18, 2013 Accepting new patients

Locations

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

611 W Admiral Doyle Dr
New Iberia, LA 70560
Phone (337) 373-0002

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/aahsd/r4/

Organizations & group practices 5

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1871637066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DULLES DRIVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4142",
            "fax_number": "337-262-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DULLES DR",
            "address_2": "CRISIS AND REFERRAL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "CRISTY",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "9469",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.