Individual provider Active NPI

Roberta A Dowden, LCSW

  • Social Worker
  • Lake Charles, LA
National Provider Identifier
1902807340
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1061 Issued in LA
Practice address
333 Dr Michael Debakey Dr
Ste, 220
Lake Charles, LA 70601-5887
Phone
(337) 478-9331
Fax
(337) 478-9828
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1061 LA Primary

Addresses

Primary practice location

333 Dr Michael Debakey Dr
Ste, 220
Lake Charles, LA 70601-5887

Mailing address

333 Dr Michael Debakey Dr
Ste. 220
Lake Charles, LA 70601-5887
Phone (337) 478-9331

Other identifiers 1

IdentifierTypeStateIssuer
1538086MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • 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
I20040224000077 LA Practitioner - Clinical Social Worker 8820984214 Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1061LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Area Psychiatry LLC PastSince Jun 23, 2024 Accepting new patients
Allyson Warshaw, LCSW LLC Past Accepting new patients

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1902807340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 DR MICHAEL DEBAKEY DR",
            "address_2": "STE. 220",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015887",
            "telephone_number": "337-478-9331",
            "fax_number": "337-478-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 DR MICHAEL DEBAKEY DR",
            "address_2": "STE, 220",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015887",
            "telephone_number": "337-478-9331",
            "fax_number": "337-478-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDEN",
        "first_name": "ROBERTA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538086",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.