Individual provider Active NPI

Patrick Shannon Bordnick, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1881498301
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14228 Issued in LA
Practice address
1430 Tulane Ave # 8422
New Orleans, LA 70112-2632
Phone
(504) 988-2300
NPI assigned
Apr 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 14228 LA Primary

Addresses

Primary practice location

1430 Tulane Ave # 8422
New Orleans, LA 70112-2632

Mailing address

2040 Milan St
New Orleans, LA 70115-5448
Phone (713) 299-3132

Other practice location 1

1440 Canal St # 8448
New Orleans, LA 70112-2703
Phone (504) 988-5246

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
I20250529001106 LA Practitioner - Clinical Social Worker 7416476817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2025 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2025 Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients

Locations

1430 Tulane Ave
#8422
New Orleans, LA 70112
Phone (504) 422-3545

1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485

131 S Robertson St
Fl 10
New Orleans, LA 70112
Phone (504) 988-5433

1440 Canal St
#8448
New Orleans, LA 70112
Phone (504) 988-4272

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1440 Canal St
New Orleans, LA 70112
Phone (504) 988-4272

Organizations & group practices 3

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": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1881498301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MILAN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155448",
            "telephone_number": "713-299-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8422",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Canal St # 8448",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122703",
            "country_code": "US",
            "telephone_number": "504-988-5246",
            "fax_number": "504-988-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDNICK",
        "first_name": "PATRICK",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.