Active NPI
Avanda Craft
- Clinical Social Worker
- New Orleans, LA
National Provider Identifier
1922461904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12225
- Practice address
- 1125 N Tonti St
New Orleans, LA 70119-3549 - Phone
- (504) 821-9211
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12225 | LA | |
| Clinical Social Worker | 1041C0700X | 12225 | LA | Primary |
Addresses
Primary practice location
1125 N Tonti St
New Orleans, LA 70119-3549
Mailing address
3821 Burntwood Dr
Harvey, LA 70058-1612
Phone (504) 777-1271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12225 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffcare | Current | Accepting new patients | |
| Jeffcare | Current | Accepting new patients | |
| Volunteers of America Southeast Louisiana, Inc. | Past | Accepting new patients |
Locations
3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215
3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Marrero, LA
- NPI 1154747327
-
- Federally Qualified Health Center (FQHC)
- Metairie, LA
- NPI 1518383785
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1164786232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1922461904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 BURNTWOOD DR",
"city": "HARVEY",
"state": "LA",
"postal_code": "700581612",
"telephone_number": "504-777-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N TONTI ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701193549",
"telephone_number": "504-821-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFT",
"first_name": "AVANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "12225",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "12225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.