Individual provider Active NPI

Christine Tschannen

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1922513530
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9444 Issued in LA
Practice address
4300 S I 10 Service Rd W
Metairie, LA 70001-7405
Phone
(504) 301-9990
NPI assigned
Dec 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9444 LA Primary

Addresses

Primary practice location

4300 S I 10 Service Rd W
Metairie, LA 70001-7405

Mailing address

4300 S I 10 Service Rd W Ste 215
Metairie, LA 70001-7436
Phone (504) 301-9990

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
I20250311002321 LA Practitioner - Clinical Social Worker 2062933682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9444LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Start Corporation CurrentSince Jan 6, 2025 Accepting new patients
Start Corporation CurrentSince Jan 6, 2025 Accepting new patients
Lei Behavioral Services LLC PastSince Jun 18, 2023 Accepting new patients

Locations

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1922513530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W STE 215",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017436",
            "telephone_number": "504-301-9990",
            "fax_number": "504-265-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017405",
            "telephone_number": "504-301-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHANNEN",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.