Individual provider Active NPI

Katherine W Champagne, LCSW

  • Clinical Social Worker
  • Houma, LA
National Provider Identifier
1922322981
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10774 Issued in LA
Practice address
521 Legion Ave
Houma, LA 70364-3339
Phone
(985) 857-3612
Fax
(985) 857-3782
NPI assigned
Mar 19, 2010
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10774 LA
Clinical Social Worker 1041C0700X 10774 LA Primary

Addresses

Primary practice location

521 Legion Ave
Houma, LA 70364-3339

Mailing address

235 Civic Center Blvd
Houma, LA 70360-5937
Phone (985) 333-2020

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
I20150709000169 LA Practitioner - Clinical Social Worker 2961714860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Start Corporation CurrentSince Dec 1, 2024 Accepting new patients
Start Corporation CurrentSince Dec 1, 2024 Accepting new patients

Locations

235 Civic Center Blvd
Houma, LA 70360
Phone (985) 333-2020

420 Magnolia St
Houma, LA 70360
Phone (985) 873-7784

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, 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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1922322981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CIVIC CENTER BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605937",
            "telephone_number": "985-333-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 LEGION AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703643339",
            "telephone_number": "985-857-3612",
            "fax_number": "985-857-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "KATHERINE",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "10774",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.