Individual provider Active NPI

Serena Chaudhry, LMSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1881838365
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11097 Issued in LA
Practice address
4011 Baronne St
New Orleans, LA 70115-5314
Phone
(917) 969-3418
Fax
(917) 969-3418
NPI assigned
Apr 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC11639 ME
Mental Health Counselor 101YM0800X MC11639 ME
Professional Counselor 101YP2500X MC11639 ME
Clinical Social Worker 1041C0700X 11097 LA Primary

Addresses

Primary practice location

4011 Baronne St
New Orleans, LA 70115-5314

Mailing address

4011 Baronne St
New Orleans, LA 70115-5314
Phone (917) 969-3418

Other identifiers 1

IdentifierTypeStateIssuer
432998199MedicaidME

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
I20180919003623 LA Practitioner - Clinical Social Worker 1153672894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1440 Canal St
RM 1700
New Orleans, LA 70112-2703
Phone (504) 988-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC11639MEMDMental Health Counselor
11097LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2018 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2018 Accepting new patients

Locations

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

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

4000 Bienville St
Ste G
New Orleans, LA 70119
Phone (504) 988-0301

1430 Tulane Ave
#T
New Orleans, LA 70112

Organizations & group practices 2

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": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1881838365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 BARONNE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155314",
            "telephone_number": "917-969-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BARONNE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155314",
            "telephone_number": "917-969-3418",
            "fax_number": "917-969-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "SERENA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC11639",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC11639",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "MC11639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432998199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.