NPIMap

Individual provider Active NPI

Lucille Clarke, LCSW-BACS

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1881069243
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3308 Issued in LA
Practice address
1615 Poydras St Ste 923
New Orleans, LA 70112-1254
Phone
(504) 777-6871
Fax
(504) 617-7813
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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 3308 LA Primary

Addresses

Primary practice location

1615 Poydras St Ste 923
New Orleans, LA 70112-1254

Mailing address

1615 Poydras St Ste 923
New Orleans, LA 70112-1254
Phone (504) 777-6871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3308LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Better Health Past Accepting new patients

Organizations & group practices 1

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": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1881069243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 POYDRAS ST STE 923",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121254",
            "telephone_number": "504-777-6871",
            "fax_number": "504-617-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 POYDRAS ST STE 923",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121254",
            "telephone_number": "504-777-6871",
            "fax_number": "504-617-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "LUCILLE",
        "credential": "LCSW-BACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.