Individual provider Active NPI

Alfred Louis Robelot Jr., L.C.S.W.

  • Clinical Social Worker
  • Gonzales, LA
National Provider Identifier
1871744003
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3422 Issued in LA
Practice address
1056 E Worthy St
Suite E
Gonzales, LA 70737-4369
Phone
(225) 603-3135
Fax
(225) 647-0658
NPI assigned
Oct 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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 3422 LA Primary

Addresses

Primary practice location

1056 E Worthy St
Suite E
Gonzales, LA 70737-4369

Mailing address

1056 E Worthy St
Suite E
Gonzales, LA 70737-4369
Phone (225) 603-3135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3722LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1871744003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 E WORTHY ST",
            "address_2": "SUITE E",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374369",
            "telephone_number": "225-603-3135",
            "fax_number": "225-647-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E WORTHY ST",
            "address_2": "SUITE E",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374369",
            "telephone_number": "225-603-3135",
            "fax_number": "225-647-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBELOT",
        "first_name": "ALFRED",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.