Individual provider Active NPI

Carlo J Cuneo Jr., LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1881742187
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5924 Issued in LA
Practice address
3080 Teddy Dr
Ste a
Baton Rouge, LA 70809-1925
Phone
(225) 923-8255
Fax
(225) 923-8255
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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 5924 LA Primary

Addresses

Primary practice location

3080 Teddy Dr
Ste a
Baton Rouge, LA 70809-1925

Mailing address

3080 Teddy Dr
Ste a
Baton Rouge, LA 70809-1925
Phone (225) 923-8255

Other identifiers 1

IdentifierTypeStateIssuer
1170054MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5924LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Stick Mental Health, LLC 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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1881742187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 TEDDY DR",
            "address_2": "STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091925",
            "telephone_number": "225-923-8255",
            "fax_number": "877-761-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 TEDDY DR",
            "address_2": "STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091925",
            "telephone_number": "225-923-8255",
            "fax_number": "225-923-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNEO",
        "first_name": "CARLO",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1170054",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.