Individual provider Active NPI

Angelle M Escousse, MSW, LCSW

  • Clinical Social Worker
  • Bogalusa, LA
National Provider Identifier
1891911822
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4140 Issued in LA
Practice address
602 Avenue E
Bogalusa, LA 70427-3628
Phone
(985) 276-0349
Fax
(504) 278-4007
NPI assigned
Apr 18, 2007
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C8307 MS
Clinical Social Worker 1041C0700X 4140 LA Primary

Addresses

Primary practice location

602 Avenue E
Bogalusa, LA 70427-3628

Mailing address

602 Avenue E
Bogalusa, LA 70427-3628
Phone (985) 276-0349

Other practice location 1

330 N Jefferson Davis Pkwy
New Orleans, LA 70119-5312
Phone (504) 948-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C8307MSMDClinical Social Worker
4140LAMDPediatric Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Angelle Escousse LCSW Clinical CurrentSince May 16, 2021 Accepting new patients
TGC Learning Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1891911822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 AVENUE E",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273628",
            "telephone_number": "985-276-0349",
            "fax_number": "504-278-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 AVENUE E",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273628",
            "telephone_number": "985-276-0349",
            "fax_number": "504-278-4007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Jefferson Davis Pkwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701195312",
            "country_code": "US",
            "telephone_number": "504-948-6880",
            "fax_number": "504-948-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOUSSE",
        "first_name": "ANGELLE",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8307",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.