Barbara A Dehon-Manuel, LCSW

Individual provider Active NPI Clinical Social Worker · Luling, LA

NPI 1871788596 · NPPES record last updated Sep 6, 2007

Key facts

NPI
1871788596
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
3475 (LA)
Practice address
1005 Gassen St
Luling, LA 70070-4501
Phone
(985) 785-9302
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090605000008 LA Practitioner - Clinical Social Worker 0648320028

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3475 LA Yes

Addresses

Primary practice location

1005 Gassen St
Luling, LA 70070-4501

Mailing address

1005 Gassen St
Luling, LA 70070-4501
Phone (985) 785-9302

Other identifiers

IdentifierTypeStateIssuer
1674923MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 6, 2007.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1871788596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 GASSEN ST",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704501",
            "telephone_number": "985-785-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 GASSEN ST",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704501",
            "telephone_number": "985-785-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHON-MANUEL",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1674923",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

All providers in Luling, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.