NPIMap

Organization Active NPI

Catalyst for Change

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1881117851
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5065 Issued in LA
Legal business name
CATALYST FOR CHANGE
Practice address
3305 Metairie Rd
Metairie, LA 70001-5215
Phone
(504) 251-0758
Fax
(504) 849-4040
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Angela Henry Wilklow, LCSWNPI 1093943037
Title
Ownwe
Phone
(504) 251-0758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5065 LA Primary

Addresses

Primary practice location

3305 Metairie Rd
Metairie, LA 70001-5215

Mailing address

3305 Metairie Rd
Metairie, LA 70001-5215
Phone (504) 251-0758

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1881117851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015215",
            "telephone_number": "504-251-0758",
            "fax_number": "504-849-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015215",
            "telephone_number": "504-251-0758",
            "fax_number": "504-849-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "HENRY WILKLOW",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNWE",
        "authorized_official_telephone_number": "504-251-0758",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.