NPIMap

Organization Active NPI

Interactional Services, Inc

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1891821641
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
440B Issued in LA
Legal business name
INTERACTIONAL SERVICES, INC
Practice address
707 Southfield Rd
Shreveport, LA 71106-2219
Phone
(318) 869-1632
Fax
(318) 869-1633
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Mrs. Marguerite W Salley, LCSWNPI 1841242484
Title
President
Phone
(318) 869-1632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 440B LA Primary

Addresses

Primary practice location

707 Southfield Rd
Shreveport, LA 71106-2219

Mailing address

707 Southfield Rd
Shreveport, LA 71106-2219
Phone (318) 869-1632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000264 LA Part B Supplier - Clinic/Group Practice 5799677647 Receives reassigned benefits from 3 practitioners
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

910 Pierremont Rd
Ste 214
Shreveport, LA 71106
Phone (318) 869-1632

707 Southfield Rd
Shreveport, LA 71106
Phone (318) 869-1632

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1891821641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SOUTHFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062219",
            "telephone_number": "318-869-1632",
            "fax_number": "318-869-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SOUTHFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062219",
            "telephone_number": "318-869-1632",
            "fax_number": "318-869-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIONAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "SALLEY",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-869-1632",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "440B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.