Individual provider Active NPI

Tamberly Melissa Smith, LCSW

  • Clinical Social Worker
  • Bogalusa, LA
National Provider Identifier
1871742056
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5100 Issued in LA
Practice address
400 Georgia Ave Ste 1
Bogalusa, LA 70427-3866
Phone
(985) 732-6610
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5100 LA Primary

Addresses

Primary practice location

400 Georgia Ave Ste 1
Bogalusa, LA 70427-3866

Mailing address

400 Georgia Ave Ste 1
Bogalusa, LA 70427-3866
Phone (985) 732-6610

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
I20141217002322 LA Practitioner - Clinical Social Worker 7315260635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

835 Pride Dr
Suite B
Hammond, LA 70401-9527
Phone (985) 543-4730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Parishes Human Services Authority CurrentSince Apr 1, 2015 Accepting new patients
Florida Parishes Human Services Authority CurrentSince Apr 1, 2015 Accepting new patients

Locations

619 Willis Ave
Bogalusa, LA 70427
Phone (985) 732-6610

400 Georgia Ave
Ste 1
Bogalusa, LA 70427
Phone (985) 732-6610

1951 Florida Ave SW
#D
Denham Springs, LA 70726

1951 Florida Ave SW
Ste D
Denham Springs, LA 70726
Phone (225) 665-0473

835 Pride Dr
Ste B
Hammond, LA 70401
Phone (985) 543-4333

900 Wilkinson St
Mandeville, LA 70448
Phone (985) 624-4450

2331 Carey St
Slidell, LA 70458
Phone (985) 646-6406

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1871742056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GEORGIA AVE STE 1",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273866",
            "telephone_number": "985-732-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GEORGIA AVE STE 1",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273866",
            "telephone_number": "985-732-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAMBERLY",
        "middle_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.